HRT - Hormone Replacement Therapy in Hialeah, FL

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HORMONE REPLACEMENT THERAPY for Women estrogen
 HRT For Men Hialeah, FL

What Causes Menopause?

The most common reason for menopause is the natural decline in a female's reproductive hormones. However, menopause can also result from the following situations:

Oophorectomy: This surgery, which removes a woman's ovaries, causes immediate menopause. Symptoms and signs of menopause in this situation can be severe, as the hormonal changes happen abruptly.

Chemotherapy: Cancer treatments like chemotherapy can induce menopause quickly, causing symptoms to appear shortly after or even during treatment.

Ovarian Insufficiency: Also called premature ovarian failure, this condition is essentially premature menopause. It happens when a woman's ovaries quit functioning before the age of 40 and can stem from genetic factors and disease. Only 1% of women suffer from premature menopause, but HRT can help protect the heart, brain, and bones.

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Depression

If you're a woman going through menopause and find that you have become increasingly depressed, you're not alone. It's estimated that 15% of women experience depression to some degree while going through menopause. What many women don't know is that depression can start during perimenopause, or the years leading up to menopause.

Depression can be hard to diagnose, especially during perimenopause and menopause. However, if you notice the following signs, it might be time to speak with a physician:

  • Mood Swings
  • Inappropriate Guilt
  • Chronic Fatigue
  • Too Much or Too Little Sleep
  • Lack of Interest in Life
  • Overwhelming Feelings

Remember, if you're experiencing depression, you're not weak or broken - you're going through a very regular emotional experience. The good news is that with proper treatment from your doctor, depression isn't a death sentence. And with HRT and anti-aging treatment for women, depression could be the catalyst you need to enjoy a new lease on life.

 HRT For Women Hialeah, FL

Hot Flashes

Hot flashes - they're one of the most well-known symptoms of menopause. Hot flashes are intense, sudden feelings of heat across a woman's upper body. Some last second, while others last minutes, making them incredibly inconvenient and uncomfortable for most women.

Symptoms of hot flashes include:

  • Sudden, Overwhelming Feeling of Heat
  • Anxiety
  • High Heart Rate
  • Headache
  • Nausea
  • Dizziness

Typically, hot flashes are caused by a lack of estrogen. Low estrogen levels negatively affect a woman's hypothalamus, the part of the brain that controls body temperature and appetite. Low estrogen levels cause the hypothalamus to incorrectly assume the body is too hot, dilating blood vessels to increase blood flow. Luckily, most women don't have to settle for the uncomfortable feelings that hot flashes cause. HRT treatments for women often stabilize hormones, lessening the effects of hot flashes and menopause in general.

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Mood Swings

Mood swings are common occurrences for most people - quick shifts from happy to angry and back again, triggered by a specific event. And while many people experience mood swings, they are particularly common for women going through menopause. That's because, during menopause, the female's hormones are often imbalanced. Hormone imbalances and mood swings go hand-in-hand, resulting in frequent mood changes and even symptoms like insomnia.

The rate of production of estrogen, a hormone that fluctuates during menopause, largely determines the rate of production the hormone serotonin, which regulates mood, causing mood swings.

Luckily, HRT and anti-aging treatments in Hialeah, FL for women work wonders for mood swings by regulating hormone levels like estrogen. With normal hormone levels, women around the world are now learning that they don't have to settle for mood swings during menopause.

 Sermorelin Hialeah, FL

Weight Gain

Staying fit and healthy is hard for anyone living in modern America. However, for women with hormone imbalances during perimenopause or menopause, weight gain is even more serious. Luckily, HRT treatments for women coupled with a physician-led diet can help keep weight in check. But which hormones need to be regulated?

  • Estrogen: During menopause, estrogen levels are depleted. As such, the body must search for other sources of estrogen. Because estrogen is stored in fat, your body believes it should increase fat production during menopause. Estrogen also plays a big part in insulin resistance, which can make it even harder to lose weight and keep it off.
  • Progesterone: Progesterone levels are also depleted during menopause. Progesterone depletion causes bloating and water retention, while loss of testosterone limits the body's ability to burn calories.
  • Ongoing Stress: Stress makes our bodies think that food is hard to come by, putting our bodies in "survival mode". When this happens, cortisol production is altered. When cortisol timing changes, the energy in the bloodstream is diverted toward making fat. With chronic stress, this process repeatedly happens, causing extensive weight gain during menopause.
 HRT Hialeah, FL

Low Libido

Lowered sexual desire - three words most men and women hate to hear. Unfortunately, for many women in perimenopausal and menopausal states, it's just a reality of life. Thankfully, today, HRT and anti-aging treatments Hialeah, FL can help women maintain a normal, healthy sex drive. But what causes low libido in women, especially as they get older?

The hormones responsible for low libido in women are progesterone, estrogen, and testosterone.

Progesterone production decreases during perimenopause, causing low sex drive in women. Lower progesterone production can also cause chronic fatigue, weight gain, and other symptoms. On the other hand, lower estrogen levels during menopause lead to vaginal dryness and even vaginal atrophy or loss of muscle tension.

Lastly, testosterone plays a role in lowered libido. And while testosterone is often grouped as a male hormone, it contributes to important health and regulatory functionality in women. A woman's testosterone serves to heighten sexual responses and enhances orgasms. When the ovaries are unable to produce sufficient levels of testosterone, it often results in a lowered sex drive.

 Hormone Replacement Hialeah, FL

Vaginal Dryness

Often uncomfortable and even painful, vaginal dryness is a serious problem for sexually active women. However, like hair loss in males, vaginal dryness is very common - almost 50% of women suffer from it during menopause.

Getting older is just a part of life, but that doesn't mean you have to settle for the side effects. HRT and anti-aging treatments for women correct vaginal dryness by re-balancing estrogen, progesterone, and testosterone. When supplemented with diet and healthy living, your vagina's secretions are normalized, causing discomfort to recede.

Hormone Replacement Therapy Hialeah, FL

Fibroids

Uterine fibroids - they're perhaps the least-known symptom of menopause and hormone imbalances in women. That's because these growths on the uterus are often symptom-free. Unfortunately, these growths can be cancerous, presenting a danger for women as they age.

Many women will have fibroids at some point. Because they're symptomless, they're usually found during routine doctor exams. Some women only get one or two, while others may have large clusters of fibroids. Because fibroids are usually caused by hormone imbalances, hysterectomies have been used as a solution, forcing women into early menopause.

Advances in HRT and anti-aging medicine for women give females a safer, non-surgical option without having to experience menopause early. At Global Life Rejuvenation, our expert physicians will implement a customized HRT program to stabilize your hormones and reduce the risk of cancerous fibroid growth.

 HRT For Men Hialeah, FL

Endometriosis

Endometriosis symptoms are much like the effects of PMS, and include pelvic pain, fatigue, cramping, and bloating. While doctors aren't entirely sure what causes this painful, uncomfortable condition, most agree that hormones - particularly xenoestrogens - play a factor.

Endometriosis symptoms are much like the effects of PMS and include pelvic pain, fatigue, cramping, and bloating. While doctors aren't entirely sure what causes this painful, uncomfortable condition, most agree that hormones - particularly xenoestrogens - play a factor.

Xenoestrogen is a hormone that is very similar to estrogen. Too much xenoestrogen is thought to stimulate endometrial tissue growth. HRT for women helps balance these hormones and, when used with a custom nutrition program, can provide relief for women across the U.S.

 Sermorelin Hialeah, FL

What is Sermorelin?

Sermorelin is a synthetic hormone peptide, like GHRH, which triggers the release of growth hormones. When used under the care of a qualified physician, Sermorelin can help you lose weight, increase your energy levels, and help you feel much younger.

 HRT Hialeah, FL

Benefits of Sermorelin

Human growth hormone (HGH) therapy has been used for years to treat hormone deficiencies. Unlike HGH, which directly replaces declining human growth hormone levels, Sermorelin addresses the underlying cause of decreased HGH, stimulating the pituitary gland naturally. This approach keeps the mechanisms of growth hormone production active.

  • Benefits of Sermorelin include:
  • Better Immune Function
  • Improved Physical Performance
  • More Growth Hormone Production
  • Less Body Fat
  • Build More Lean Muscle
  • Better Sleep
 Hormone Replacement Hialeah, FL

What is Ipamorelin?

Ipamorelin helps to release growth hormones in a person's body by mimicking a peptide called ghrelin. Ghrelin is one of three hormones which work together to regulate the growth hormone levels released by the pituitary gland. Because Ipamorelin stimulates the body to produce growth hormone, your body won't stop its natural growth hormone production, which occurs with synthetic HGH.

Ipamorelin causes growth hormone secretion that resembles natural release patterns rather than being constantly elevated from HGH. Because ipamorelin stimulates the natural production of growth hormone, our patients can use this treatment long-term with fewer health risks.

Hormone Replacement Therapy Hialeah, FL

Benefits of Ipamorelin

One of the biggest benefits of Ipamorelin is that it provides significant short and long-term benefits in age management therapies. Ipamorelin can boost a patient's overall health, wellbeing, and outlook on life.

When there is an increased concentration of growth hormone by the pituitary gland, there are positive benefits to the body. Some benefits include:

  • Powerful Anti-Aging Properties
  • More Muscle Mass
  • Less Unsightly Body Fat
  • Deep, Restful Sleep
  • Increased Athletic Performance
  • More Energy
  • Less Recovery Time for Training Sessions and Injuries
  • Enhanced Overall Wellness and Health
  • No Significant Increase in Cortisol

Your New, Youthful Lease on Life with HRT for Women

Whether you are considering our HRT and anti-aging treatments for women in Hialeah, FL, we are here to help. The first step to reclaiming your life begins by contacting Global Life Rejuvenation. Our friendly, knowledgeable HRT experts can help answer your questions and walk you through our procedures. From there, we'll figure out which treatments are right for you. Before you know it, you'll be well on your way to looking and feeling better than you have in years!

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Latest News in Hialeah, FL

Prestige JV scores $21M construction loan for Hialeah apartments

Project on former Salvation Army site is expected to be completed by year-endPrestige Companies and its partner scored a $20.5 million construction loan for a multifamily project on a former Salvation Army site in Hialeah, marking the firm’s continued wager on the city.Prestige and Florida Value Partners have started building the project, consisting of 100 townhouses for rent and a three-story building with 12 apartments atop 5,000 square feet of retail, said Prestige’s Alexander Ruiz. The project, at 7450 West Four...

Project on former Salvation Army site is expected to be completed by year-end

Prestige Companies and its partner scored a $20.5 million construction loan for a multifamily project on a former Salvation Army site in Hialeah, marking the firm’s continued wager on the city.

Prestige and Florida Value Partners have started building the project, consisting of 100 townhouses for rent and a three-story building with 12 apartments atop 5,000 square feet of retail, said Prestige’s Alexander Ruiz. The project, at 7450 West Fourth Avenue, is expected to be completed by year-end.

The lender is Amzak Capital Management, the Boca Raton-based private investment firm for the Kazma family, records show. The Kazmas, who hail from Canada, built a cable television empire in North America and Latin America before focusing on investments in real estate, fixed-income assets such as corporate bonds, health care and industrial companies, according to Amzak’s website. Gerry Kazma is chairman, and his son, Michael Kazma, is president.

An affiliate of Prestige originally bought the nearly 5-acre development site in late 2021 for $8.3 million, a deed shows. Last year, that entity sold the property to a partnership of Prestige and Florida Value for $15 million.

The site is an Opportunity Zone, areas deemed in need of an economic boost. Investors can defer capital gains taxes by putting their money in a qualified Opportunity Zone fund, which in turn bankrolls real estate and business projects on Opportunity Zones.

More than $15 million in Opportunity Zone capital is earmarked for the Hialeah project from a qualified fund, which includes capital gains from Prestige and Florida Value, Ruiz said.

The developers scored city approval of the project last March.

This is the latest Hialeah project by Prestige, a Miami Lakes-based firm led by CEO Marty Caparros. The firm has built several Amelia-branded communities, named after Amelia Earhart, who attempted to become the first woman pilot to fly across the globe but disappeared in the Pacific Ocean.

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Las Vistas at Amelia consists of 174 apartments at 7925 West 2nd Court. The Amelia mixed-use district has 30 rental units and two commercial units totaling 17,000 square feet.

Last year, Prestige also made headway in its plan to develop a 343-unit apartment complex and a charter school on an unused portion of the historic Hialeah Park Racing & Casino. Prestige paid $13.1 million for the 13-acre development site at the park, which no longer holds live races but has state approval for slot machines, card games and pari-mutuel wagering on televised horse races.

Florida Value, a Miami-based firm led by managing partner Gus Alfonso, has a portfolio of more than $1 billion of assets under management amassed since the firm was founded in 2008, according to its LinkedIn.

Hialeah, traditionally a single-family home community with an industrial real estate supply, has caught multifamily developers’ interest in recent years.

The Pérez family’s Related Group and Jeffrey Soffer’s Fontainebleau Development are developing a 642-unit complex at 7218 West Fourth Avenue, a former track for the now banned practice of greyhound racing, according to media reports.

Also in Hialeah, Dacar Management is building a 244-unit multifamily complex with retail at 3685 West 85th Path.

This park near Hialeah has mountain biking trails that are maintained by volunteers

The mountain bike trail in the middle of an Australian pine forest in Amelia Earhart Park, just north of Hialeah, is perhaps Miami-Dade’s best kept secret.The 8.5 miles of trails in this majestic 515-acre green lung of South Florida are perfect for cyclists of different levels of experience — from beginner to intermediate and advanced.“There is nothing like this in the county. We have concrete all over the place and suddenly there’s Amelia Earhart Park and this amazing forest where the mountain biking tr...

The mountain bike trail in the middle of an Australian pine forest in Amelia Earhart Park, just north of Hialeah, is perhaps Miami-Dade’s best kept secret.

The 8.5 miles of trails in this majestic 515-acre green lung of South Florida are perfect for cyclists of different levels of experience — from beginner to intermediate and advanced.

“There is nothing like this in the county. We have concrete all over the place and suddenly there’s Amelia Earhart Park and this amazing forest where the mountain biking trail is located. Coming to ride a bike in this park is a way to escape from the city, without really leaving,” explained Tony Suárez, who volunteers managing the land where the trail is located.

Although the park is managed by Miami-Dade County, as it is located in an unincorporated area, the section where the trail is located is maintained by 15 volunteers, who clear the brush, design routes, and create projects and fundraising campaigns to keep the facilities active. Amelia Trail Builders Club, Inc is the nonprofit organization that raises funds for ongoing repairs and improvements on the Amelia Earhart Mountain Bike Trails. The money raised is used to purchase building materials, maintenance equipment, and consumables such as fuel, cutting blades, cutting line, and tools.

These volunteers work on the trails every day, depending on their time availability. They love extreme sports and want to improve the condition of the area.

The first sections of the bike path were made in 1992 with machetes and saws. For more than 30 years, the team of volunteers has logged more than 30,000 hours of planning, building, maintenance and repair time at Amelia Earhart Mountain Bike Trails.

But it was not until 2014 when volunteering legitimately began, with the purpose to create an area within the forest that would allow mountain bikers to have routes to train and enjoy nature while exercising.

Every day after 4 p.m. between 500 and 600 cyclists ride one of the 12 trails designed in Amelia Earhart Park, which vary according to the climbs, ramps or steep curves (cambers) to make the route more dynamic and attractive for bikers.

Admission to Amelia Earhart Park is free Monday through Friday, and weekends are $7 per vehicle. These two days bikes and helmets can be rented from 9:30 a.m. to 6:30 p.m.

“The cyclists love this route. It’s not very technical, it’s smooth, but it makes you go fast. Every six months, the route changes direction, inverting the intensity of the trails,” explained Suárez, who began collecting garbage from the routes, then cutting down fallen trees until voluntarily administering the land.

Alfred León, 33, has been visiting the mountain trail at Amelia Earhart for about a month. He is a rookie cyclist who rides the sections that have been prepared for his category.

“It is a very beautiful route, with the lake on one side, it is very accessible. I live in Miami Gardens, and I come two or three days a week,” said León, who recently returned to Miami-Dade from California, where he was mountain biking in the national parks.

Suárez said that the route offered by Amelia Earhart Park is less challenging than the Markham Bike Park Trail in Sunrise or Oleta River State Park Mountain Biking, located along Biscayne Bay in North Miami. These parks have more advanced bike trails because of their ability to raise funds, he explained.

According to the manager of Amelia Earhart Mountain Bike Trails, about $10,000 is required each year to cover the needs of the trail, including cutting brush, creating new routes, signage, changing bridge planks or the routes’ elevations, and buying diesel for the vehicles (bulldozers) used to remove soil and to carry weeding tools.

Although the county recognizes the Amelia Earhart Mountain Bike Trails as one of the best bike trails in South Florida and the site of professional series BMX racing events, it has not maintained its surrounding area since 2014.

That year the county completed a bike wash station and a 15x15-foot canvas canopy that serves as a resting place with shade. It also got gardens, wooden fences, access gates, and a 20-space parking lot with eight parking spaces for people with disabilities. According to Miami-Dade government, the project cost approximately $627,000.

However, the mountain bike area lacks public toilets. It only has two portable toilets without toilet paper, and they are not cleaned in a timely manner, Suárez points out.

In addition to the mountain trail, Amelia Earhart Park offers five lakes, picnic facilities, a playground for children, an 18-hole disc golf course, a five-acre fenced-in dog park, and Bill Graham Farm Village, a working farm with an area to interact with animals and pony rides. It also has the Miami Wakeboarding Complex and the soccer field complex.

Where: 401 E 65th St, Hialeah

Info: 305-685-8389

This story was originally published January 5, 2023, 4:30 AM.

7 Famous Celebrities You Didn't Know Were From Hialeah

Pittsburgh might not be Hialeah, but it has produced its fair share of celebrities. From actors and actresses to singers and athletes, there are plenty of famous people who hail from Hialeah.Here are seven celebrities you probably didn't know were from Hialeah.Maria Molina is a meteorologist and television news anchor best known for her work on Fox News. She was born in Managua, Nicaragua but raised in South Florida. Molina began her career in the...

Pittsburgh might not be Hialeah, but it has produced its fair share of celebrities. From actors and actresses to singers and athletes, there are plenty of famous people who hail from Hialeah.

Here are seven celebrities you probably didn't know were from Hialeah.

Maria Molina is a meteorologist and television news anchor best known for her work on Fox News. She was born in Managua, Nicaragua but raised in South Florida. Molina began her career in the meteorology field in the early 2010s and has worked for several news organizations. She is known for her expertise in weather forecasting and has received critical acclaim for her work. In addition to her work as a meteorologist, Molina has also been involved in various charitable and humanitarian causes.

Maria Canals-Barrera

Maria Canals-Barrera is an actress best known for her roles in films such as "The Master of Disguise" and "Coco." She was born and raised in Hialeah and began her acting career in the late 1980s. Canals-Barrera has appeared in numerous films and television shows and has received critical acclaim for her performances. She has also been involved in various charitable and humanitarian causes.

Vincent D'Onofrio

Vincent D'Onofrio is an actor best known for his roles in films such as "Full Metal Jacket" and "Men in Black." He was born in Brooklyn, New York but raised in Hialeah. D'Onofrio began his acting career in the 1980s and has appeared in numerous films and television shows. He has received critical acclaim for his performances and has been nominated for several awards, including an Emmy Award.

Catherine Keener

Catherine Keener is an actress best known for her roles in films such as "Being John Malkovich" and "Capote." She was born in Miami but raised in Hialeah. Keener began her acting career in the 1980s and has appeared in numerous films and television shows. She has received critical acclaim for her performances and has been nominated for several awards, including an Academy Award and a Golden Globe Award.

Harry Wayne Casey

Harry Wayne Casey, also known as KC, is a musician and songwriter best known as the lead singer and founder of the band KC and the Sunshine Band. He was born and raised in Hialeah and began his music career in the 1970s. KC and the Sunshine Band became one of the most successful and influential disco and funk bands of the 1970s and 1980s and had numerous hit songs, including "Get Down Tonight" and "Boogie Shoes." In addition to his work with the band, Casey has also released solo music and has been involved in various charitable and humanitarian causes.

Nestor Cortes

Nestor Cortes is a professional baseball player currently playing for the New York Yankees. He was born and raised in Hialeah and began his baseball career in the 2010s. Cortes has played for several professional teams and has had success as a starting pitcher.

Rick Sánchez

Rick Sánchez is a journalist and television news anchor best known for his work on CNN. He was born and raised in Hialeah and began his journalism career in the 1980s. Sánchez has worked for several news organizations and has received critical acclaim for his work. He is known for his in-depth and insightful reporting on a wide range of topics and has won numerous awards for his journalism.

So there you have it—some celebrities you probably didn't know were from Hialeah and some you definitely did! From actors and musicians to athletes and talk show hosts, the area has produced its fair share of famous faces over the years.

Comment any missed celebrities below, and let me know if anyone on this list surprised you!

Crews take control of fire at auto parts store in Hialeah

HIALEAH, FLA. (WSVN) - Crews have taken control of a massive fire that broke out at an auto parts store in Hialeah.Hialeah and Miami-Dade Fire Rescue crews arrived at the scene at Rastro Coco Auto Parts, located at 5171 E. 10th Court, just before 1 p.m., Tuesday.The fire has been mostly put out after crews worked for hours to douse the flames.7Skyforce hovered over the scene where hundreds of cars were caught in the blaze, as thick black smoke billowed from the lot.Vivian Espino lives nearby. “Explode, explo...

HIALEAH, FLA. (WSVN) - Crews have taken control of a massive fire that broke out at an auto parts store in Hialeah.

Hialeah and Miami-Dade Fire Rescue crews arrived at the scene at Rastro Coco Auto Parts, located at 5171 E. 10th Court, just before 1 p.m., Tuesday.

The fire has been mostly put out after crews worked for hours to douse the flames.

7Skyforce hovered over the scene where hundreds of cars were caught in the blaze, as thick black smoke billowed from the lot.

Vivian Espino lives nearby. “Explode, explode, explode,” she said describing a startling wake up call.

She was taking an afternoon nap when, all of a sudden, the business down the street from her home in Hialeah went up in flames.

Hialeah Fire Department Asst. Chief David Rodriguez said, “This is a junkyard, a big junkyard, it takes about half a city block, that was fully engulfed.”

Fire crews had to reach out to Florida Power and Light to have power in the area turned off due to power lines being too close to the fire.

According to Miami-Dade Fire Rescue, over 25 of their units responded to assist with the fire, which grew quickly. The incident was then upgraded to a second alarm fire for additional manpower to battle the flames.

“All you have in these junkyards are fireload,” said Rodriguez, “from tires, to fuel, to oils, lots of combustibles.”

It took nearly 100 firefighters several hours to put the flames out.

“Luckily we were able to contain the fire to the actual junkyard,” said Rodriguez, “protected the exposures. Luckily there were no injuries.”

Rescue crews were forced to cut down a concrete barrier to access one of the hydrants.

People in the area took cellphone video, which captured multiple loud bangs.

What remained at the lot were scorched cars and melted rubber.

“This is one of the larger scale scenes we would have,” said Rodriguez.

While she’s glad her home wasn’t damaged, Espino said she feels for the owners of the business, whom she’s known for years.

She says it’s been in that location for more than three decades and she prays they’ll be OK.

“They lost it all,” she said. “The office, all. All!”

The cause of the fire remains under investigation.

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Hialeah trucking company files Chapter 11 with $7.5 million in debt

Hialeah-based United Freight Lines, which once booked nearly $49 million in annual revenue, filed for Chapter 11 protection.The trucking company submitted its petition in U.S. Bankruptcy Court in Miami on April 14. The petition was signed by David Padron Sr., who was also listed as the owner.United Freight Lines listed $7.5 million in liabilities. Its largest debts were a $5.14 mi...

Hialeah-based United Freight Lines, which once booked nearly $49 million in annual revenue, filed for Chapter 11 protection.

The trucking company submitted its petition in U.S. Bankruptcy Court in Miami on April 14. The petition was signed by David Padron Sr., who was also listed as the owner.

United Freight Lines listed $7.5 million in liabilities. Its largest debts were a $5.14 million business loan from Volvo Financial, a $500,000 loan from the U.S. Small Business Administration, and a $247,119 loan from BMO/Harris Bank.

The company disclosed $15.3 million in assets, but only $5,282 of cash in the bank. Most of its assets were the estimated value of its truck and trailer fleet, which the filing stated could be liquidated.

The petition noted the company voluntarily surrendered 10 trucks to lenders in March. It's not clear how many it still owns.

While United Freight Lines has yet to issue a case summary describing why it filed Chapter 11, the petition made clear that sales have fallen this year. After posting revenue of $48.9 million in 2021 and $46.1 million in 2022, the company has booked $2.4 million in revenue so far this year.

Attorney Timothy S. Kingcade, who represents the debtor, couldn’t be reached for comment.

This is the third major trucking company in South Florida to file Chapter 11 so far in 2023.

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