Phone: (209) 835-4232

530 West Eaton Avenue Suite K

Tracy, CA 95376

Comprehensive Aesthetic and Internal Medicine Treatments

We are more than happy to serve you. Contact us today to book an appointment.

Puneet Grewal, Harpreet Grewal, Tracy Medical Group, Internal Medicine Doctor in Tracy, Primary Care Doctor Near Me

Helping You Look Good Inside and Out

Stay gorgeous and healthy with Tracy Medical Group. We provide aesthetic, internal, and family medicine treatments to help meet your beauty and wellness needs. Get in touch with us to schedule an appointment.

Aesthetic

SculpSure® Body Contouring

When diet and exercise aren’t enough to help you reduce in size, visit Tracy Medical Group. We offer SculpSure®, a noninvasive body sculpting treatment designed to trim your body’s trouble areas, such as the love handles, abdomen, back, and thighs.

What is SculpSure®

An FDA-cleared alternative to invasive surgeries, SculpSure® helps reduce fat in specific areas of your body. The laser energy targets fat cells that lie below the skin, disrupting their structure, so they die off and are flushed out by your natural waste removal systems.

In any one given session, up to 24% of fat cells are destroyed in the treated areas. We can help you determine if you need more than one session, most people get the best results from multiple treatments.

Does SculpSure® treatment hurt?

Most people tolerate SculpSure® body sculpting quite well. You can expect to feel warm sensations and light tingling as the laser passes over each treatment area.

When will I see results from SculpSure® treatment?

Results become evident in about 6 weeks, with optimal results showing at 12 weeks. It takes time for your fat cells to die and for your body to flush them out of your system.

What kind of downtime should I expect with SculpSure®?

SculpSure is noninvasive, meaning it involves no incisions, blood loss, sutures, or risk of infection. You can go right back to work or other daily activities following a treatment session. The only real side effects may be some slight redness in the treatment area, but this should fade within a few hours.

How long do the results of SculpSure® last?

SculpSure offers lasting results. As long as you maintain your weight and a healthy lifestyle, the results are permanent. Unlike weight loss achieved with conventional diet and exercise in which fat cells simply shrink but tend to plump back up, SculpSure permanently destroys fat cells so they cannot swell ever again.

To find out if you’re a candidate for this revolutionary laser treatment, call our office in Tracy, California or book an appointment online.

Double Chin

A double chin can make you look older or heavier than you actually are. With SculpSure®, you can get rid of those unwanted fat cells to improve your profile. It traditionally treats trouble spots on the body, such as the abdomen and thighs, but can now also be used to deal with unwanted fat in the submental region – or under the chin.

How many sessions will I need to reduce double chin?

Each session of SculpSure® reduces up to 24% of fat in a given treatment area.

Discuss your profile goals with Drs. Puneet and Harpreet Grewal so they can

develop the optimal treatment plan for you. Most people benefit from a series of

SculpSure sessions.

How long does a SculpSure session take, and will I need downtime following?

Each SculpSure session lasts just about 25 minutes. It's noninvasive, so you can

go right back to work, school, or other activities after a session. You may have

a slight bruising or redness under your chin following the session, but this only

lasts a few hours and fades quickly.

Does SculpSure® submental treatment hurt?

Most patients describe the treatment as feeling warm and tingly. Some people

feel that it pinches a little, but it's generally well tolerated and requires no

anesthesia or numbing creams.

When will I see results from SculpSure® treatments?

You may start to notice changes in the shape of the area under your chin after just 6 weeks as your body starts to eliminate the disrupted fat cells. Optimal results are evident after 12 weeks once your body has fully flushed the destroyed fat out.

How long will the results of SculpSure® last?

SculpSure® is a permanent way to reduce your double chin. It completely destroys fat cells so they cannot plump back up. Maintain your results by following a healthy diet and exercising regularly, as these will prevent remaining fat cells from swelling.

Skin Care

Botox®/Dysport®

Reduce the fine lines and wrinkles that make you look older with Botox® and Dysport® At Tracy Medical Group, we offer these solutions to effectively reduce the appearance of fine lines and wrinkles. Call us today or book an appointment online to learn more about these treatments and their positive effects on your appearance.

What are the similarities and differences between Botox® and Dysport®?

Botox® and Dysport® treatments are made of a purified toxin (abobotulinumtoxinA) that temporarily halts the muscular activity that causes fine lines and wrinkles. When you smile, frown, or look inquisitive, these muscles etch these lines into your face. Botox® and Dysport® stun the nerves that activate these muscles so the lines and wrinkles become less prominent.

Botox® is FDA-approved and supported by dozens of peer-reviewed studies. It's been used in the United States and Europe for decades and is the most commonly performed cosmetic treatment in the US.

Dysport is also completely safe and has been used in Europe for years, but is newer to the American market. The differences between the two lie in the potency of trace proteins, which can render one more effective than the other in certain cases

What areas can be treated with Botox® and Dysport®?

Both are approved for aesthetic treatment on the face. Areas typically addressed

include the crow's feet around the eyes, horizontal forehead lines, and frown lines

on the forehead between the eyes. Dysport's results may appear slightly sooner, within 3-4 days of application, while Botox's may take 7 days to show results.

Do wrinkle-reducing injections hurt?

Both Botox and Dysport injections involve a fine needle, so you will feel a slight pinch

during treatment. Most people find the brief sessions quite manageable, but if you're concerned about discomfort, talk to Dr. Grewal about using a topical numbing

cream or ice prior to the injections.

How long do the results of Botox and Dysport last?

Botox and Dysport are temporary ways to reduce fine lines and wrinkles. Expect the

results to last 3-4 months, at which point you'll need retreatment to retain your

results.

How much downtime should I expect to need following Botox or Dysport treatments?

Botox and Dysport treatments require no downtime. You can go right back to work or other daily activities following the injections. Some people may have some slight redness or bruising at the injection sites for a few days following the medicines' application, but these are easily hidden with makeup and fade quickly.

Who is a candidate for Botox or Dysport?

Anyone bothered by the appearance of wrinkles or fine lines is a candidate for Botox or Dysport. Dr. Grewal may recommend one medication over another depending on the treatment area and your desired results. Dysport may spread to a wider area of the face, and this can be an advantage in some treatment areas.

You may even elect to use Botox or Dysport prior to the development of significant wrinkling, as either can halt the facial movements that lead to wrinkles. In this way, the injections prevent wrinkling and the appearance of aging.

Dermal Fillers/Restylane®

Dermal fillers, such as Juvederm® and Restylane, help add youthful plumpness and smoothness to aging skin. At Tracy Medical Group, we offer these injectable dermal fillers to men and women who are bothered by sagging skin, wrinkles, and fine lines.

What are Juvederm® and Restylane®?

Juvederm® and Restylane® contain the active ingredient hyaluronic acid, which is naturally produced by our body. It makes your skin look smooth, taut, and plump. Hyaluronic acid production reduces as you age, and as a result, your skin starts to show the signs of aging.

Dermal fillers restore the volume in your skin with added hyaluronic acid, filling in fine lines and sunken or thinning areas.

What areas can be treated with dermal fillers?

Juvederm® is a line of products, each specifically formulated to target specific areas on the face. Restylane works similarly to Juvederm® but holds its shape a little better so it may be a superior choice in some cases. Dr. Grewal can help you determine which products will work best to meet your aesthetic goals.

Specific treatment applications of these dermal fillers include:

Nasolabial Folds (Lines From the Nose to the Mouth)
Melomental Folds (Lines From the Mouth to the Chin)

Lines Around the Upper Lip
Thinning Lips
Lost Volume in the Cheeks or Cheekbones
Under the Eyes

You'll notice results immediately following the treatment with dermal fillers, but it takes a few days for the results to settle and look most natural.

How long do the results of dermal fillers last?

Dermal fillers last between 4 to 6 months on the average but can sometimes offer longer-lasting results of 6 months to a year. The duration of the effects depend on the type of dermal filler used, the area treated, and the injection technique. To maintain your results, re-treatments are necessary. Talk to Dr. Grewal about establishing a regular schedule.

Is treatment with dermal fillers painful?

Dermal filler treatments require injections, so you do feel a bit of a pinch as Dr.

Grewal addresses multiple areas on your face. She can offer a topical skin

anesthetic to make you more comfortable during the injections.

Do I need to schedule downtime following dermal filler treatments?

You can go right back to your normal activities following dermal filler treatments

You may experience slight redness or bruising at the injection sites or mild puffiness or swelling too. These side effects fade within a few days.

Medical Services

Physical Exams

Physical exams are not only required for sports, school, and certain jobs, they're an essential part of your preventive health care. At Tracy Medical Group, we offer physical exams for adolescent and adult patients of all ages. We also provide DMV and DOT physicals. To schedule your physical exam, call or book an appointment online.

What is a regular annual physical exam?

Even if you feel perfectly healthy, it's important to visit Tracy Medical Group for regular checkups. These visits help you avoid many common health problems that typically don't cause signs or symptoms at first, such as Type 2 diabetes and high blood pressure.

With simple tests and annual monitoring of your overall health, we can help catch diseases in their early stages when they're most treatable. We also identify risk factors for illnesses and encourage you to make healthy lifestyle choices.

What happens during a regular annual physical exam?

When you visit Tracy Medical Group for a physical exam, Dr. Puneet or Dr.

Harpreet usually begins by reviewing your medical history. This is a perfect

opportunity for you to ask questions or mention any concerns you may have about your health.

They may ask you questions about lifestyle choices like smoking, alcohol

consumption, or diet and exercise. Then, they measure your vitals, including:

Blood Pressure
Heart Rate
Temperature
Respiration Rate

They may listen to your heart and lungs with a stethoscope and examine your eyes, ears, and nose with a magnifying instrument.

For women over age they may also perform a pelvic exam, Pap test, and

clinical breast exam. Men may receive a testicular, prostate, and/or hernia exam.

Depending on what Dr. Puneet or Dr. Harpreet finds during your exam they

may recommend additional tests. For example, if your heartbeat is irregular, they may take an electrocardiogram (EKG).

What is a DMV or DOT physical exam?

If you drive a vehicle for your job, you may be required to take a department of motor vehicles (DMV) or department of transportation physical exam. Tracy Medical Group also performs physical exams for commercial and non-commercial vehicle drivers.

During a DOT/DMV exam, you will need to complete a form with detailed information about your medical history. The doctors will then perform a comprehensive physical exam, including:

Testing Blood Pressure
Testing Visual Acuity
Testing Hearing
Urinalysis

Preventative Care

Preventive care can help improve your overall health by stopping major illnesses and chronic conditions before they require extensive care and result to serious complications. At Tracy Medical Group, we offer screenings and treatments to help you maintain the best health possible.

Preventive care includes counseling to help you prevent health problems as well as screenings and immunizations. Examples include:

Wellness Visits
Standard Immunizations
Blood Pressure Screenings

Blood Tests to Check Cholesterol, Blood Sugar, and Lipid Levels

Weight
Monitoring

What preventive care is available for women and men?

Along with regular women's wellness checks that include pelvic exams and Pap tests to screen for cervical cancer, Tracy Medical Group also makes recommendations for mammograms to screen for breast cancer and bone density screenings to check for osteoporosis. Domestic violence screening and counseling are also available.

Men benefit from regular monitoring of markers for heart disease. Our doctors also provide prostate cancer screenings.

What is the difference between preventive care and diagnostic screenings?

If you have symptoms that suggest an illness, screenings help the doctors at Tracy Medical Group diagnose it and plan treatment. Diagnostic screenings may include some of the same tests used as preventive services.

Preventive care may involve screenings to see if you're at risk of developing a chronic health condition. It also includes health care recommendations to help you keep the disease from developing.

Is preventive care expensive?

Preventive care is usually covered by your health care plan. Review your particular plan to determine exactly what is covered. However, even if you have to cover the costs of preventive care out of pocket, it's far more affordable than the cost of managing chronic conditions.

Depression

One in five adults experiences a mental health condition, such as anxiety or depression, every year. If you or a loved one has symptoms of mental illness, don't hesitate to call or book an appointment online.

What is depression?

It's normal to feel sad or discouraged sometimes, but when these feelings persist for two weeks or longer to the point of interfering with daily activities, A chemical peel involves the application of chemicals to the skin to encourage you may suffer from major depression.

In addition to negative feelings, common symptoms of depression include:

Sleep Disturbances or Insomnia
Changes in Appetite
Angry Outbursts or Irritability
Tiredness or Lack of Energy
Trouble Concentrating and Remembering
Recurrent Thoughts of Death or Suicide
Unexplained Physical Pain, Such as Headaches

When you're depressed, these symptoms may be so severe that they cause noticeable problems in everyday activities and in school, work, or personal relationships.

What is anxiety?

Everyone experiences some degree of anxiety on occasion, but feelings of fear or worry that are persistent, overwhelming, and seemingly uncontrollable indicate an anxiety disorder.

About 40 million people, or 18% of adults in the United States, experience an anxiety disorder in any given year. An additional 8% of children and teenagers suffer from an anxiety disorder.

Common symptoms of anxiety include:

Feeling Nervous, Tense, or Jumpy
A Sense of Impending Doom
Increased Heart Rate
Difficulty Sleeping
Sweating or Trembling
Rapid Breathing
Digestive Problems

Anxiety can make it difficult or impossible to concentrate on anything other than the present worry. The intense feelings of fear and distress can become so overwhelming they prevent you from engaging in everyday activities or accomplishing basic tasks.

How do doctors diagnose and treat anxiety or depression?

First, Dr. Puneet or Dr. Harpreet Grewal performs a comprehensive physical exam, including a thorough review of your symptoms and medical history. If they don't find any signs of an underlying medical condition that may be causing your symptoms, they may perform a psychiatric evaluation.

If you meet the diagnostic criteria for anxiety or depression as outlined in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), they discuss the best treatment options for you.

Treatment may include lifestyle changes such as exercising regularly, using stress management techniques, and avoiding alcohol. If these treatments don't work, Dr. Puneet or Dr. Harpreet may recommend medications to manage your anxiety or depression.

Diabetes

Internal medicine physician Puneet Grewal, MD, and family physician Harpreet Grewal, MD, screen for diabetes and develop blood sugar management plans at Tracy Medical Group in Tracy, California. If you think you may have diabetes, you may to call us or book an appointment online today.

What is diabetes?

Diabetes is a disease that affects the way your body uses glucose, known as blood sugar. Glucose is essential to your health because it provides your cells with energy.

This disease involves a problem with insulin, a hormone that's responsible for getting glucose into your cells. Without insulin, your cells don't receive glucose, so it accumulates in your blood (high blood sugar).

There are two main types of diabetes:

Type 1 diabetes

In this type, your pancreas doesn't make insulin. Type 1 diabetes used to be called juvenile diabetes because this type is usually diagnosed in children and adolescents.

Type 2 diabetes

With Type 2 diabetes, your body may make insulin, but it's either not enough or your body doesn't use it properly. When the latter occurs, that's called insulin resistance

This type is much more common, accounting for nearly 95% of all diabetes cases. Both children and adults are susceptible to Type 2 diabetes.

What are the symptoms of diabetes?

Diabetes symptoms vary based on how high your blood sugar rises. Common symptoms of diabetes include:

Excessive Thirst
Frequent Urination
Fatigue and Irritability
Blurry Vision
Unexplained Weight Loss
Numbness in the Hands or Feet

Symptoms of Type 2 diabetes may occur gradually, while Type 1 diabetes tends to cause symptoms that occur more suddenly.

Who is at risk for diabetes?

The exact cause of Type 1 diabetes remains unknown, but having a family history of this disease may increase your risk.

Risk factors for Type 2 diabetes include:

Being Overweight or Obese
A Family History of Diabetes
High Blood Pressure
Unhealthy Cholesterol Levels
Sedentary Lifestyle

If Dr. Puneet or Dr. Harpreet recognizes diabetes risk factors during your physical exam, they may encourage you to make healthy lifestyle changes, such as achieving a healthy weight.

How do doctors diagnose and treat diabetes?

First, Dr. Puneet or Dr. Harpreet performs a physical exam and reviews your medical

history. If they suspect you may have diabetes, they may take blood tests to confirm the diagnosis.

They then develop a personalized treatment plan to manage your blood sugar. Depending on the type of diabetes you have, treatment may include:

Eating a Healthy Diet
Exercising Regularly
Taking Medication
Taking Insulin

You should also monitor your blood sugar on a regular basis and return to Tracy

Medical Group for routine exams.

Acne

Acne is the most common skin condition in the United States Treatment can help prevent outbreaks and scarring, so seek the expertise of Dr. Puneet Grewal of Tracy Medical Group. Call the office to learn how chemical peels and medical interventions can help manage your acne.

When should I seek treatment for acne?

Acne affects teens but can also show in adults - particularly women in their 30s and 40s. Acne appears as more than just a few pimples. You may seek treatment for acne if you have:

Blackheads and Whiteheads

Papules and Pustules

Cysts and Nodules

You may have acne on the back, chest, face, neck, upper arms, buttocks, and shoulders. Seek treatment if you're bothered by the appearance of acne, if outbreaks cause redness and swelling, or if you experience scarring following an outbreak.

What causes acne?

Approximately 40-50 million Americans experience acne at any given time. Acne occurs when your skin pores are clogged with dead skin and sebum, a natural oil that keeps your skin moist. When these pores clog, bacteria that live on your skin can get inside and cause inflammation - resulting in a pimple, blackhead, cyst, or nodule.

How do chemical peels help treat acne?

Chemical peels are available in different strengths. A mild to moderate

sloughing of the outermost layer. The treatment helps clear out pores and reduce discoloration from acne scarring. The chemical peels exfoliate the skin on a deeper level than topical scrubs. As a result, your complexion is rejuvenated, and new skin cells are prompted to emerge.

An in-office peel is stronger than one you can buy over the counter. It unclogs pores that cause acne and enhances your skin's texture.

Chemical peels are available in different strengths. A mild to moderate High Blood Pressure chemical peel is usually best for acne treatment.

What medical treatments are available for acne sufferers?

At Tracy Medical Group, Dr. Grewal can offer prescriptions for topical medications that help control the bacteria that exacerbate acne. Some topical treatments also help control your oil production to help reduce acne breakouts.

Oral medicines can also help treat acne, especially when you have red, swollen pimples and cysts. The medications include antibiotics, birth control pills to control hormone production and Isotretinoin - a prescription ingredient that addresses severe acne.

To learn more about the effective acne treatments available at Tracy Medical Group, call the office or book an appointment online.

High Cholesterol

Maintaining healthy cholesterol levels is crucial for reducing your risk of heart disease and other medical problems. Internal medicine physician Puneet Grewal, MD, and family physician Harpreet Grewal, MD, diagnose and treat high cholesterol and offer in-office cardiac stress testing at Tracy Medical Group. To understand and control your cholesterol levels, call or book an appointment online.

What is high cholesterol?

Sometimes called hyperlipidemia, high cholesterol means there are too many lipids (fats) in your blood. Your body needs cholesterol to build new cells, but unhealthy levels of this substance can cause serious complications.

Over time, this may lead to blocked arteries, which increase your risk of heart disease and stroke.

What is good and bad cholesterol?

You may have heard of "good" cholesterol (high-density lipoproteins or HDL) and "bad" cholesterol (low-density lipoproteins or LDL). They're called good and bad because HDL removes cholesterol from your arteries, reducing plaques and blockages. On the other

hand, LDL increases fatty deposits and the risk of blockages.

Having too little HDL, too much LDL, or both can cause your cholesterol levels to be out of balance.

Who is at risk of high cholesterol?

Some may be genetically predisposed to high cholesterol. In other cases, lifestyle choices can play a role. These are the factors that may increase your risk of high cholesterol:

Obesity

Lack of Exercise

Smoking Cigarettes

Diabetes

How is high cholesterol diagnosed and treated?

First, Dr. Puneet or Dr. Harpreet Grewal performs a physical exam, including a blood test to check your cholesterol levels. These tests typically report the following levels.

HDL Cholesterol
Triglycerides (Another Type of Fat)

Total Cholesterol

LDL Cholesterol

If necessary, you may also take an in-office cardiac stress test. This involves monitoring your heart while you exercise to check for blockages and other abnormalities in your arteries.

After reviewing your test results and identifying risk factors in your medical history, Dr. Puneet or Dr. Harpreet develops a personalized treatment plan get your cholesterol under control.

The first line of treatment for high cholesterol often includes lifestyle changes, such as:

Quitting Smoking

Eating a Healthy Diet

Getting Regular Exercise

If your condition severe doesn't improve with lifestyle changes, they may recommend medications, such as statins, to manage your cholesterol.

High Blood Pressure

About one out of every three adults in the United States has high blood pressure, but many don't even realize it due to the lack of signs or symptoms. At Trace Medical Group, we treat high blood pressure and offer on-site cardiac stress testing. Don't wait for high blood pressure to cause damage, call or book an appointment online today.

What is high blood pressure?

Sometimes called hypertension, high blood pressure is a common health condition that happens when blood flows through your arteries at a higher pressure than normal. Over time, this increased force on the walls of your blood vessels causes damage that may lead to serious complications, such as heart disease.

What causes high blood pressure?

Many factors can contribute to high blood pressure, including existing medical conditions and taking certain medicines. Risk factors that can increase your chances of developing high blood pressure include:

A Family History of High Blood Pressure
Excessive Alcohol Consumption
Smoking or Chewing Tobacco

Unhealthy Diet and Lack of Exercise
Being Overweight or Obese
Medical Conditions Such As Sleep Apnea

Blood vessels naturally stiffen and thicken over time, increasing the risk of high blood pressure.

What are complications of high blood pressure?

High blood pressure usually doesn't cause signs or symptoms until serious complications arise. Undiagnosed or uncontrolled high blood pressure can lead to the following complications:

Heart Attack
Heart Disease

Stroke
Aneurysms

Heart Failure
Peripheral Artery Disease

Kidney Disease
Eye Damage

It's crucial to get regular blood pressure screenings. Visit us at Tracy Medical Group to monitor your blood pressure.

How is high blood pressure diagnosed and treated?

Dr. Puneet or Dr. Harpreet measures your blood pressure during regular physical exam. If your blood pressure is high, they may ask you to return for follow-up monitoring. If necessary, they may take an in-office cardiac stress test to check for abnormalities in your blood pressure.

They also thoroughly review your medical history to understand your risk factors and develop a personalized treatment plan. Depending on your individual condition, treatment for high blood pressure may include:

Healthy Lifestyle Changes Like Quitting Smoking
Increasing Physical Activity and Eating Well
Maintaining a Healthy Weight

Managing Stress
Taking Medicines to Manage Your Blood Pressure

Dr. Puneet or Dr. Harpreet may also recommend monitoring your blood pressure at home and scheduling regular checkups at Tracy Medical Group.

Set an Appointment

Tracy Medical GroupPuneet Grewal, MDHarpreet Grewal, MD