If there's one universal truth, it's that all of our bodies begin changing at some point. That's especially true for women who are over the age of 50. One day it seems like we're rolling out of bed with a pep in our step. The next, our emotions are out of control, our weight won't go down, and we constantly have hot flashes. If that sounds like you, don't worry â millions of other women worldwide are going through the same difficulties.
The fact of the matter is these symptoms are part of a natural process women go through. This change, called menopause, marks the end of a woman's ability to reproduce and menstruate. The average age for this to occur is 51, though it officially begins a year after a woman's final period. During this transition to menopause, estrogen and other hormones in a woman's body start to deplete When those hormones deplete, frequent and sometimes severe symptoms can manifest:
The symptoms of hormone deficiency can be scary for both women and their partners. That makes dealing with a hormone deficiency tricky because many symptoms are tied to nutrition, stress, lack of exercise, and toxins in your body.
However, if you're getting older and dealing with some of the symptoms listed above, have hope. A solution to your hormone problems may be closer than you think. Hormone replacement therapy for women may help correct imbalances caused by menopause. These effective, safe treatments help many women throughout the menopause process and may even help them reclaim their youth.
To live a healthy life, hormone stability is very important for women. That's where the beauty of HRT treatments for women begins to shine because it balances hormones that would otherwise be altered due to menopause.
HRT treatments for women represent a revolutionary step toward living life without the pitfalls of old age. However, at Juventee, we understand that no two women, and by proxy, patients, are the same. That's why our team of doctors and specialists provide personalized treatment options for women, combining holistic treatment, nutrition, fitness plans, and more to supplement our HRT treatments.
Is HRT the answer if you feel exhausted, overweight, and moody? That's the million-dollar question that we're asked almost every day. And to be honest, it's hard to say without a comprehensive exam by an HRT expert at Juventee. What we can say is that when a woman's hormones are better balanced during menopause, she has a much better chance of enjoying life without the crippling symptoms that other women feel.
At Juventee, helping women reclaim their vitality and love of life is our top priority. While some HRT clinics see patients as nothing more than a means to make money, our team is cut from a different cloth.
The key to balancing your hormones and improving your well-being is a process that we have refined over time. The Juventee HRT process consists of a comprehensive review of your health and hormonal status. Our team then customizes your plan and prescribes treatments, procedures, and supplements under the guidance of our local HRT experts.
At Juventee, we want to revitalize your health by promoting balance, energy, intimacy, and beauty. We start by assessing your baseline biomarkers and implementing a personalized plan to help you feel like your younger self. Our in-depth process covers many factors, almost like a web. Each component of that web works in conjunction with others to make up how you feel. If one area is out of sync, women can experience unwanted fluctuations in their weight, energy, emotions, libido, and more. Juventee is committed to evaluating our patient's overall health so that we may bring vitality and happiness to as many aspects of their lives as possible.
We've mentioned all the greatness that can come with an HRT regimen from Juventee, but what exactly are the benefits of HRT for women? Let's take a look.
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Unlike some HRT clinics, Juventee's HRT programs are carefully crafted and personalized for each patient. There are no cookie-cutter solutions at our office. Instead, we assess each individual's needs and customize treatments to help their bodies as they age. We replace hormones that are deficient and restore them to their physiological state using HRT pellets.
These hormone pellets are prescription hormones inserted under the skin through a simple in-office procedure. Each pellet is about as large as a big grain of rice. Once inserted, our HRT pellets get to work quickly. With this treatment, patients don't have to worry about applying greasy creams or swallowing pills. Instead, our pellets are metabolized by the body. That way, patients don't stress over taking too much or too little.
Remember, at Juventee, our goal isn't just to balance your hormones â it's to completely optimize your health and well-being. You won't ever have to worry about our doctors writing you a prescription and sending you on your way without any additional communication. Instead, we aim to be part of our patient's journey back to health and work with all of our HRT patients to do so.
Hormone imbalance causes a litany of issues. But with hormone replacement therapy, females can better process calcium, keep their cholesterol levels safe, and maintain a healthy vagina. By replenishing the body's estrogen levels, HRT may relieve symptoms of menopause and even optimize bone health.
But that's just the start. At Juventee, our patients report many benefits of taking HRT for women:
If you're ready to feel better and enjoy the vitality of your youth, Juventee is here to help you every step of the way. It all starts with an in-person evaluation, where our team will determine if HRT is right for you.
For many women, menopause is a difficult time filled with ups, downs, and hormonal hurdles to overcome. While menopausal issues are well-known by some, other women only know that menopause can affect their hormones. The reality is that going through menopause can mean more than moodiness and hot flashes.
At Juventee, we're big believers that a little knowledge can go a long way. With that in mind, if you're going through menopause or are approaching "that" age, consider these common issues. First, let's examine some alternative causes of menopause beyond age:
The most common reason for menopause is diminished, unbalanced hormones. However, menopause can also result from:
Now that we've examined some of the ways that menopause manifests, let's look at some common problems that females regularly endure:
If you're going through menopause and feel like life is a tiresome burden, you're not alone. Studies show that 15% of women go through depression to some degree during menopause. What many women don't learn is that depression may start much earlier, during perimenopause or even earlier.
Depression can be hard to diagnose, even without perimenopause and menopause as a factor. With that said, keep the following signs in mind. If you notice any, it might be time to speak with a physician:
If you notice any of the signs above, it's important that you understand that you're not weak or broken. You're going through a very normal emotional experience, which may be caused by hormone deficiency. However, with proper treatment from your doctor, depression doesn't have to rule your life.
You don't have to have hormonal imbalances to have mood swings. Indeed, everyone gets moody from time to time. For women going through menopause, however, mood swings can be extreme and happen often. Hormone imbalances and mood swings go together, resulting in unusual emotional changes and even issues like insomnia.
Estrogen production, a hormone that fluctuates during menopause, affects serotonin production, which regulates mood. When both hormones are deficient, mood swings can become quite prevalent.
Fortunately, HRT treatments in Hackensack, NJ, work wonders for women because they work to regulate hormones like estrogen. With HRT from Juventee, women don't have to settle for the negative consequences that drastic mood swings can cause.
Hot flashes: whether you're a man or a woman, you've probably heard of them. Hot flashes are very common issues associated with menopause and manifest as intense, sudden feelings of heat across the upper body. Some last a few seconds while others last many minutes, making them uncomfortable and inconvenient at all times. A few common symptoms of hot flashes include:
Usually, a lack of estrogen causes hot flashes in menopausal women. Low levels of estrogen negatively affect a woman's hypothalamus, or the part of the brain that regulates appetite and body temperature. Low estrogen levels cause the hypothalamus to assume incorrectly that the body is too hot. When it does, it dilates a woman's blood vessels to boost blood flow.
Fortunately, most women don't have to settle for the intense, unwanted feelings they endure with hot flashes. HRT pellet treatment from Juventee helps to stabilize hormones which may lessen the effects that hot flashes cause.
Staying healthy and fit is a challenge for anybody living in modern America. For women with hormonal imbalances, however, it's even harder. Weight gain is a concerning issue during menopause, but it can be manageable with a physician-led diet, exercise, and HRT treatments from Juventee.
HRT patients at Juventee benefit from health plans that keep hormones in check, making weight loss a real possibility. But which hormones need to be regulated to help avoid weight gain?
Millions of adults around the U.S. suffer from low sex drive, but that doesn't make it any more embarrassing to talk about. For many women going through pre-menopause and menopause, it's an unfortunate side effect of unbalanced hormones. Thankfully, HRT may help women maintain a healthy libido, even after 50. But what causes lowered sexual desire in women as they age?
The hormones responsible for low libido in females are estrogen, progesterone, and testosterone.
Progesterone production decreases during perimenopause, resulting in lowered libido in some women. Lower progesterone production can also cause weight gain, exhaustion, and other symptoms common during menopause. Reduced estrogen levels during menopause may lead to vaginal dryness and even loss of muscle tension.
Testosterone is referred to as a male hormone, but it contributes to important health functionality in women as well. Female testosterone heightens sexual responses and intensifies orgasms. When the ovaries can't produce sufficient levels of testosterone, low sex drive can happen.
The inside of a woman's bones is broken down and rebuilt by bone cells in an ongoing process called remodeling. This process is crucial for maintaining bone strength and health.
However, due to the loss of estrogen during menopause, this important process becomes unbalanced. Less bone is formed, and more bone is broken down. This advanced state of bone loss can be worrying for women, especially if they had an early menopause. With time, women may develop osteoporosis and a greater chance of breaking bones as they age.
Fortunately, HRT for women can actually mimic estrogen and progesterone, which may help prevent bone loss and lower chances of osteoporosis in women. That's huge news for women around the U.S., many of whom are battling early bone loss due to a lack calcium, vitamin D, and other nutrients crucial to bone health.
If you are considering HRT treatments for women in Hackensack, NJ, you need a team of hormone replacement experts by your side. At Juventee, our knowledgeable HRT doctors are ready to help. Our team will answer your initial questions, conduct necessary testing, and craft a customized program designed to alleviate the challenges you're facing as a woman going through menopause.
With a healthy diet, exercise, positive life choices, and hormone replacement therapy, unveiling the new "you" is easier than you might think. Contact our office today to get started on your journey to optimal health and well-being.
Hackensack Meridian Health and its Bear's Den program team up with company developing Artificial Intelligence technology for neuro-oncology EDISON, N.J., Feb. 24, 2023 /PRNewswire/ -- Hackensack Meridian Health and Neosoma, Inc., an innovative medical technology company focused on helping clinicians advance the treatment of brain cancers through the use of artificial intelligence (AI), announce a new strategic partnership to tackle some of the most difficult-to-treat tumors.The collaboration will include cl...
Hackensack Meridian Health and its Bear's Den program team up with company developing Artificial Intelligence technology for neuro-oncology
EDISON, N.J., Feb. 24, 2023 /PRNewswire/ -- Hackensack Meridian Health and Neosoma, Inc., an innovative medical technology company focused on helping clinicians advance the treatment of brain cancers through the use of artificial intelligence (AI), announce a new strategic partnership to tackle some of the most difficult-to-treat tumors.
The collaboration will include clinical data sharing, clinical research, and strategic investment from the health network to support the Massachusetts-based company's innovative method of imaging, tracking and collecting data on numerous types of brain tumors including glioblastomas.
"We are committed to investing in research and innovative therapies to live our mission to transform healthcare and give our patients the best possible outcomes,'' said Robert C. Garrett, FACHE, chief executive officer of Hackensack Meridian Health. "Partnering with Neosoma Inc. is a great way to continue to develop potential game changing therapies to treat these challenging cancers."
"We have a terrific partnership with Hackensack Meridian Health already," said Ken Kolodziej, the CEO and co-founder of Neosoma. "We're very excited to expand the scope of our collaboration with the shared goal of improving treatment and outcomes for patients with brain cancer."
The partnership will include HMH physicians using Neosoma's software in clinical practice, starting with Hackensack Meridian JFK University Medical Center; physician input and feedback for development of future software including neurosurgeons, neuro-oncologists, neuroradiologists, radiation oncologists, and other clinicians; and data sharing for product R&D efforts including collaboration with Anthology Diagnostics for genomics data and capabilities, among other benefits.
Neosoma recently received U.S. Food and Drug Administration (FDA) 510(k) clearance for its first AI-based neuro-oncology software device, Neosoma HGG (High-Grade Glioma). The technology produces precise and accurate brain tumor analysis on MRIs, providing physicians with critical insights to guide treatment decisions.
"Neosoma helps to avoid interruptions in care, unnecessary surgeries, and unnecessary changes in therapy," said , D.O., a neuro-oncologist and also the chief medical officer at Medical Center. "The entire team benefits from centralized information, more efficient communication, and treatment protocols tailored to each specific patient."
"We are proud to support promising companies through the Bear's Den, which accelerates innovation at key points in the pipeline," said , M.D., FACS, Hackensack Meridian president of Academics, Research and Innovation, founding chair of the Hackensack Meridian Research Institute, and also associate dean of Clinical Integration and professor and chair emeritus of Urology at the Hackensack Meridian School of Medicine. "This company's expertise will also assist our physicians in some of the most difficult medical diagnoses. It's a win-win."
Hackensack Meridian is a leading not-for-profit health care organization that is the largest, most comprehensive and truly integrated health care network in , offering a complete range of medical services, innovative research and life-enhancing care. The network has 18 hospitals and more than 500 patient care locations, which include ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, rehabilitation centers, urgent care centers, physician practice locations, and a fitness and wellness center. With more than 35,000 team members and 7,000 physicians, Hackensack Meridian is a distinguished leader in health care philanthropy and committed to the health and well-being of communities throughout .
The network's notable distinctions include having more -ranked hospitals than any other health system in , as ranked by , 2022-23. Hackensack University Medical Center is nationally-ranked by in four specialties, more than any other hospital in . Joseph M. Sanzari Children's Hospital at Hackensack University Medical Center, and K. Hovnanian Children's Hospital at Jersey Shore University Medical Center, are ranked #1 in the state and top 20 in the Mid-Atlantic Region by 's 2022-23 Best Children's Hospital Report. Additionally, their combined nephrology program ranks in the top 50 in . To learn more, visit.
For more information visit:
HMHRI leads and organizes a connected ecosystem bringing together clinicians, scientists, and educators to respond to the health problems of our time, in real-time. HMHRI is dedicated to accelerating discovery, innovation, and translation of scientific breakthroughs that address unmet clinical needs.
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Shawn Orefice led all scorers with 35 points to pace fourth-seeded North Bergen to a 74-66 home victory over fifth-seeded Union City in the quarterfinal round of the NJSIAA North Jersey, Section 1, Group 4 tournament.Ayden Rivera added 14 points for North Bergen (16-11).North Bergen took a 17-point lead in the first quarter and still led by a 50-39 margin after three quarters. Union City outscored North Bergen 29-24, in the fourth quarter but could not overcome the 11-point deficit.Darrien Ponder led Union City (13-14) w...
Shawn Orefice led all scorers with 35 points to pace fourth-seeded North Bergen to a 74-66 home victory over fifth-seeded Union City in the quarterfinal round of the NJSIAA North Jersey, Section 1, Group 4 tournament.
Ayden Rivera added 14 points for North Bergen (16-11).
North Bergen took a 17-point lead in the first quarter and still led by a 50-39 margin after three quarters. Union City outscored North Bergen 29-24, in the fourth quarter but could not overcome the 11-point deficit.
Darrien Ponder led Union City (13-14) with 22 points, with Andre Bly adding 21.
Fourth-seeded North Bergen will travel to face top-seeded Paterson Eastside, a 47-19 winner over ninth-seeded Livingston, in the semifinal round Saturday.
Passaic Tech 64, Hackensack 59
Jordan Lugo scored 14 points to lead second-seeded Passaic Tech, which used a 30-point fourth quarter to earn a 64-59 victory over seventh-seeded Hackensack in Wayne.
Jovan Tyrell added 14 points for Passaic Tech (19-9), which advances to Saturday’s semifinals to meet the winner between third-seeded Ridgewood and sixth-seeded Clifton.
Passaic Tech used a 14-10 run in the third quarter to take a 34-33 lead. Hackensack responded with a 26-point fourth quarter, but Passaic Tech held on for the victory.
Damir Shelley led Hackensack (12-16), with Mikey Saliba adding 15.
Paterson Eastside 47, Livingston 19
Paterson Eastside extended its winning streak to 13 games when Bryce Stokes finished with 13 points, six rebounds and five steals to help lift top-seeded Paterson Eastside, No. 9 in the NJ.com Top 20, to a 47-19 home victory over ninth-seeded Livingston.
Jaheim Best tallied 10 points, eight assists and eight rebounds, with Preston Brown adding 10 points for Paterson Eastside (25-2).
Paterson Eastside led 23-9 at the half.
Luke Cohen led Livingston (17-11) with seven points.
Paterson Eastside will host fourth-seeded North Bergen in the semifinal round Saturday.
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Thursday, Feb. 23Nominate your game changer now in one of 18 categories decided by fans. • Learn more and make a nomination!FEATURED GAMESPublic QuarterfinalsSouth, Group 2: Haddonfield 65, Medford Tech 54North 2, Group 2: West Side 69, Bernards 46Central, Group 4: Trenton 60, WWPS 44...
Nominate your game changer now in one of 18 categories decided by fans. • Learn more and make a nomination!
South, Group 2: Haddonfield 65, Medford Tech 54
North 2, Group 2: West Side 69, Bernards 46
Central, Group 4: Trenton 60, WWPS 44
North 1, Group 2: Glen Rock 48, Wallkill Valley 45
South, Group 2: Sterling 53, Overbrook 46
North 2, Group 4: Westfield 59, Scotch Plains-Fanwood 56
North 2, Group 4: Newark East Side 49, Ridge 43
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South River 83, Point Pleasant Boro 56 - Box Score
Raritan 47, Delaware Valley 33 - Box Score
Bound Brook 46, Rumson-Fair Haven 45 - Box Score
Manasquan 76, Roselle 41 - Box Score
Middletown South 63, Jackson Memorial 58 - Box Score
Trenton 60, West Windsor-Plainsboro South 47 - Box Score
South Brunswick 72, North Brunswick 46 - Box Score
Marlboro 55, Freehold Township 42 - Box Score
Indian Hills 48, Westwood 29 - Box Score
Ramsey 48, Jefferson 38 - Box Score
Glen Rock 48, Wallkill Valley 45 - Box Score
Elmwood Park 61, Pascack Hills 55 - Box Score
Passaic Tech 64, Hackensack 59 - Box Score
Ridgewood 58, Clifton 42 - Box Score
Paterson Eastside 47, Livingston 19 - Box Score
North Bergen 74, Union City 66 - Box Score
West Side 69, Bernards 46 - Box Score
Newark Collegiate 57, McNair 56 - Box Score
Caldwell 52, Science Park 36 - Box Score
Madison 59, Hanover Park 51 - Box Score
Hillsborough 48, Columbia 41 - Box Score
Newark East Side 49, Ridge 43 - Box Score
Westfield 59, Scotch Plains-Fanwood 56 - Box Score
Linden 49, Franklin 43 - Box Score
Haddonfield 65, Medford Tech 54 - Box Score
Sterling 53, Overbrook 46 - Box Score
Cinnaminson 65, Haddon Heights 55 - Box Score
Middle Township 76, Lindenwold 52 - Box Score
Eastern 57, Central Regional 55 - Box Score
Lenape 58, Williamstown 51 - Box Score
Egg Harbor 64, Atlantic Tech 47 - Box Score
Cherry Hill East 62, Toms River North 56 - Box Score
Hamilton Heights Christian (TN) 68, Life Center 60 - Box Score
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4-minute readWhen Maksym Tkachuk first stepped on the ice with the North Jersey Avalanche youth hockey team, he immediately stood out to his soon-to-be coaches.Then just 13, it was obvious that Tkachuk was a fast learner. He was quick on his feet and knew the game of hockey as good as any. It didn’t matter that he and his family had just moved to the United States from Ukraine, or that he barely spoke English.His coaches knew from that first practice — this defenseman was one of them.&...
When Maksym Tkachuk first stepped on the ice with the North Jersey Avalanche youth hockey team, he immediately stood out to his soon-to-be coaches.
Then just 13, it was obvious that Tkachuk was a fast learner. He was quick on his feet and knew the game of hockey as good as any. It didn’t matter that he and his family had just moved to the United States from Ukraine, or that he barely spoke English.
His coaches knew from that first practice — this defenseman was one of them.
“The first time he ever played with us, we put him in our practice drills and he was doing the drills better than our guys that had been doing those same drills for over a few weeks,” head coach Tom Natoli recalled in a recent interview. “He's just one of those kids. He’s a special kid.”
In the past two seasons, the Tkachuk family has been to countless practices, games and tournaments across the region with their newfound “Avs Fam.” This newfound family, it turns out, has become a support system the Tkachuk family never imagined they would need.
Since moving to the United States, the Tkachuks — Maksym, who goes by Max, and his parents, Iryna and Vadym — have watched from afar as their home country wrestles through a war with Russia. Their ties to Ukraine remain strong. Their immediate family still lives there, and Vadym works for the Ukrainian consulate in New York City.
Ukraine War:A Ukrainian family finds a warm welcome in NJ, but longs to return home
In many ways, hockey has become a welcome distraction.
"It's difficult to express my feeling because he’s all I have and I'm so happy that he's happy, that he has this peace around the team,” said Iryna. “He doesn't know the sounds of war … He can play hockey, continue to practice and play with this great group of guys. You can’t even imagine what it means for me and my husband and for all our family who are still in Ukraine.”
Tkachuk has been playing hockey since he was about 4, his mother said. It was only natural that, when they first moved to New York City for her husband’s work, they tried to find him a team to play on, she said. Eventually, the family connected with Natoli and the Avalanche organization.
At first, Tkachuk would commute to practice at the Ice House in Hackensack by bus. The family at the time lived out of a New York City hotel. They later moved to Fort Lee, where Tkachuk is now a high school freshman.
When he first joined the team, Tkachuk said the language barrier made the transition “pretty stressful.” He had studied British English in Ukraine, so the American accents were a challenge. The coaches, though, got creative.
“We had to adapt and figure out some different ways to communicate with him and teach him the corrections on the fly, when we know that he's not really understanding us,” Natoli said. “We used a ton of visuals. We would use the dry erase boards to show him some different things … Max is the definition of a fast learner. By the end of the season last year, he was fluent in English.”
This Avalanche team that Tkachuk plays for strives to build a family-like dynamic between their coaching staff, players and parents. The coaches credit this mentality to the overall culture of the Avalanche organization, which is an elite youth hockey club in North Jersey.
“One of the things that we pride ourselves in is building culture,” Natoli said. “We always use a quote — ‘culture wins championships’ — and we make sure that’s one of the most important ingredients, and one of the biggest pieces for us as a coaching staff.”
It should come as no surprise, then, that the team all season has been wearing stickers of the Ukrainian flag on their helmets to show their support for Max and his family.
Tkachuck now dreams of staying in the states. He'd love to play hockey at the highest level. “I would love to go back to Ukraine, but I would like to say here,” Tkachuk said. “I would like to go back for a couple of weeks to see my grandparents, but I want to stay here mostly. Probably build a career here, go to college.”
His mother, though, says, “My heart is still in Ukraine.” She dreams of going back to a country not at war.
On Friday, on the one-year anniversary of the Russian invasion, Tkachuk and his team will play in the first round of playoffs at the Ice House in a double elimination tournament, vying for a ticket to districts. If all goes well, this special team could be punching its ticket to a national championship. But there's still a long path to tread.
“This is one of those kind of special groups that, you know, have all the ingredients you really need to be successful and to get to that stage,” Natoli said.
Hackensack, NJ - Blue Foundry Bank, a company that provides a full-service, handcrafted banking experience, has opened a new branch in the Shoppes at Print House, located at 120 River Street in Hackensack, New Jersey. The branch welcomes clients into its modern, open architectural concept, which was developed by DMR Architects and reflects the Bank's rebirth.With its specialized Blue Is Here for You service, Blue Foundry Bank plans to bring its commitment, service, and excitement to the Hackensack neighborhood. Customers can benefit f...
Hackensack, NJ - Blue Foundry Bank, a company that provides a full-service, handcrafted banking experience, has opened a new branch in the Shoppes at Print House, located at 120 River Street in Hackensack, New Jersey. The branch welcomes clients into its modern, open architectural concept, which was developed by DMR Architects and reflects the Bank's rebirth.
With its specialized Blue Is Here for You service, Blue Foundry Bank plans to bring its commitment, service, and excitement to the Hackensack neighborhood. Customers can benefit from tailored assistance from Universal Bankers, who will work with them to achieve their financial objectives and make the most of their partnership with Blue Foundry Bank.
The walk-up Live Video Interactive Teller Machine at this location combines the convenience of an ATM with the attentive care of Universal Bankers throughout extended hours.
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“At Blue Foundry Bank, we’re committed to bringing comprehensive financial solutions to the community by creating an unparalleled banking experience,” said James D. Nesci, President and CEO of Blue Foundry Bank in a press release distributed by Blue Foundry Bank. “We’re proud to be a part of Hackensack’s redevelopment and
excited to establish the Bank as an integral member of the city for years to come.”
The following charity organizations received grants from the Blue Foundry Charitable Foundation to commemorate the grand opening of Blue Foundry Bank in Hackensack:
Bergen Volunteer Medical Initiative– Delivering free, high-quality healthcare to Bergen
County’s working uninsured, helping them live healthy, productive lives.
Tomorrow's Children’s Fund–Founded by a group of dedicated parents to aid children with cancer and life-threatening blood diseases. For children receiving therapy, they offer a warm, healthy, and caring environment along with a full range of services to reduce the emotional and financial strain on families.
North Jersey Friendship House– Provides comprehensive clinical care, job opportunities, and vocational training within a safe haven to help individuals with various abilities and developmental needs develop their talents and live fulfilling lives.