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TRT - Testosterone Replacement Therapy in Garfield, NJ

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What is Testosterone?

What is Testosterone?

Testosterone is a crucial hormone for men and plays an important role throughout the male lifespan. Most of a male's testosterone is produced through the testicles. Also called the male sex hormone, testosterone starts playing its part during puberty.

When a male goes through puberty, testosterone helps males develop:

  • Facial Hair
  • Body Hair
  • Deeper Voice
  • Muscle Strength
  • Increased Libido
  • Muscle Density

As boys turn to men and men grow older, testosterone levels deplete naturally. Sometimes, events like injuries and chronic health conditions like diabetes can lower testosterone levels. Unfortunately, when a man loses too much T, it results in hypogonadism. When this happens, the testosterone must be replaced, or the male will suffer from symptoms like muscle loss, low libido, and even depression.

How does TRT work men

How Does TRT Work?

TRT is exactly what it sounds like: a treatment option for men that replaces testosterone so that your body regulates hormones properly and restores balance to your life. Also called androgen replacement therapy, TRT alleviates the symptoms that men experience with low T.

Originally lab-synthesized in 1935, testosterone has grown in popularity since it was produced. Today, TRT and other testosterone treatments are among the most popular prescriptions in the U.S.

Without getting too deep into the science, TRT works by giving your body the essential testosterone it needs to function correctly. As the primary androgen for both males and females, testosterone impacts many of the body's natural processes – especially those needed for overall health. For example, men with low T are more prone to serious problems like cardiovascular disease and even type-2 diabetes.

When your body quits making enough testosterone, it causes your health to suffer until a solution is presented. That's where TRT and anti-aging medicine for men can help. TRT helps balance your hormones and replenish your depleted testosterone. With time, your body will begin to heal, and many symptoms like low libido and irritability begin to diminish.

What Causes Low T

What Causes Low T?

For men, aging is the biggest contributor to lower testosterone levels, though there are other causes like obesity, drug abuse, testicular injuries, and certain prescribed medications. Sometimes, long-term health conditions like AIDS, cirrhosis of the liver, and kidney disease can lower testosterone levels.

When a man's testosterone levels drop significantly, it alters his body's ratio of estrogen and testosterone. Lower testosterone levels cause more abdominal fat, which in turn results in increased aromatase, which converts even more testosterone into estrogen.

If you're concerned that you might have low T, you're not alone. Millions of men in the U.S. feel the same way. The best way to find out if your testosterone is low is to get your levels tested.

For sustainable testosterone replacement therapy benefits, you must consult with hormone doctors and experts like those you can find at Global Life Rejuvenation. That way, you can find the root cause of your hormone problems, and our team can craft a personalized HRT plan tailored to your needs.

Lowered Libido

Low Sex Drive

One of the most common reasons that men choose TRT is because they have lost that "spark" with their partner. It's not easy for a man to hear that they're not performing like they used to. Intimacy is a powerful part of any relationship. When a once-healthy sex life dwindles, it can cause serious relationship issues.

The good news is that low libido doesn't have to be a permanent problem. TRT and anti-aging medicines help revert hormone levels back into their normal range. When this happens, many men have a more enjoyable life full of intimacy and sex drive.

Inability to Achieve and Maintain Erections

Inability to Achieve and Maintain an Erection

Weak erections – it's an uncomfortable subject for many men in the U.S. to talk about. It's even worse to experience first-hand. You're in the midst of an intimate moment, and you can't do your part. Despite being perfectly normal, many men put blame and shame upon themselves when they can't achieve an erection. And while the inability to perform sexually can be caused by poor diet, obesity, and chronic health conditions, low testosterone is often a contributing factor.

Fortunately, weak erections are a treatable condition. The best way to regain your confidence and ability in bed is to speak with your doctor. Once any underlying conditions are discovered, options like TRT may be the best course of treatment.

Hair Loss

Loss of Strength and Muscle Mass

Loss of Strength and Muscle Mass

Do you find it harder and harder to work out and lift weights in the gym? Are you having problems lifting heavy items that you once had no problem lifting?

Recent studies show that when men are inactive, they lose .5% of muscle strength every year, from ages 25 to 60. After 60, muscle loss doubles every decade. While some muscle loss is common as men age, a significant portion can be tied to low testosterone levels. When a man's T levels drop, so does his muscle mass.

Testosterone is a much-needed component used in gaining and retaining muscle mass. That's why many doctors prescribe TRT Garfield, NJ, for men having problems with strength. One recent study found that men who increased their testosterone levels using TRT gained as much as 2.5 pounds of muscle mass.

Whether your gym performance is lacking, or you can't lift heavy items like you used to, don't blame it all on age. You could be suffering from hypogonadism.

Hair Loss

Hair Loss

If you're like millions of other men in their late 20s and 30s, dealing with hair loss is a reality you don't want to face. Closely related to testosterone decline and hormone imbalances, hair loss is distressing for many men. This common symptom is often related to a derivative of testosterone called DHT. Excess amounts of DHT cause hair follicles to halt their production, causing follicles to die.

Because hair located at the front and crown is more sensitive to DHT, it grows slower than other follicles and eventually stops growing permanently. Thankfully, TRT and anti-aging treatments for men in Garfield, NJ, is now available to address hair loss for good.

While it's true that you can't change your genes, you can change the effects of low testosterone on your body. Whether you're suffering from thinning hair or hair loss across your entire head, TRT and other hormone therapies can stop hair loss and even reverse the process.

Gynecomastia

Gynecomastia

Also called "man boobs," gynecomastia is essentially the enlargement of male breast tissue. This increase in fatty tissue is often caused by hormonal imbalances and an increase in estrogen. For men, estrogen levels are elevated during andropause. Also called male menopause, andropause usually happens because of a lack of testosterone.

If you're a man between the ages of 40 and 55, and you're embarrassed by having large breasts, don't lose hope. TRT is a safe, effective way to eliminate the underlying cause of gynecomastia without invasive surgery. With a custom HRT and fitness program, you can bring your testosterone and estrogen levels back to normal before you know it.

Decreased Energy

Decreased Energy

Decreased energy was once considered a normal part of aging. Today, many doctors know better. Advances in technology and our understanding of testosterone show that low T and lack of energy often go hand-in-hand.

If you're struggling to enjoy activities like playing with your kids or hiking in a park due to lack of energy, it could be a sign of low T. Of course, getting tired is perfectly normal for any man. But if you're suffering from continual fatigue, a lack of enjoyment, or a decrease in energy, it might be time to speak with a doctor.

Whether you're having a tough time getting through your day or can't finish activities you used to love, TRT could help.

Lack of Sleep

Lack of Sleep

A study from 2011 showed that men who lose a week's worth of sleep can experience lowered testosterone levels – as much as 15%, according to experts. Additional research into the topic found almost 15% of workers only get five hours of sleep (or less) per night. These findings suggest that sleep loss negatively impacts T levels and wellbeing.

The bottom line is that men who have trouble sleeping often suffer from lower testosterone levels as a result. If you find yourself exhausted at the end of the day but toss and turn all night long, you might have low T.

TRT and anti-aging medicines can restore your T levels back to normal, which can help you sleep better with proper diet and exercise.

Depression

Depression

You're feeling down about everything, and there's no solid explanation for why you're in such a crummy mood. Your daily life is great and full of success, but you can't help but feel unexcited and unmotivated. If you're experiencing symptoms like these, you may be depressed – and it may stem from low testosterone.

A research study from Munich found that men with depression also commonly had low testosterone levels. This same study also found that depressed men had cortisol levels that were 67% higher than other men. Because higher cortisol levels lead to lower levels of testosterone, the chances of severe depression increase.

Depression is a very real disorder and should always be diagnosed and treated by your doctor. One treatment option gaining in popularity is TRT for depression. Studies show that when TRT is used to restore hormone levels, men enjoy a lighter, more improved mood. That's great news for men who are depressed and have not had success with other treatments like anti-depression medicines, which alter the brain's chemistry.

Inability to Concentrate

Inability to Concentrate

Ask anyone over the age of 50 how their memory is, and they'll tell you it wasn't what it used to be. Memory loss and lack of concentration occur naturally as we age – these aren't always signs of dementia or Alzheimer's.

However, what many men consider a symptom of age may be caused by low testosterone. A 2006 study found that males with low T levels performed poorly on cognitive skill tests. These results suggest that low testosterone may play a part in reducing cognitive ability. If you're having trouble staying on task or remembering what your schedule is for the day, it might not be due to your age. It might be because your testosterone levels are too low. If you're having trouble concentrating or remembering daily tasks, it could be time to talk to your doctor.

Why? The aforementioned study found that participating men experienced improved cognitive skills when using TRT.

Weight Gain

Weight Gain

Even though today's society is more inclusive of large people, few adults enjoy gaining weight as they age. Despite their best efforts, many men just can't shed the extra pounds around their midsections, increasing their risk of heart disease and cancer.

Often, male weight gain is caused by hormone imbalances that slow the metabolism and cause weight to pile on. This phase of life is called andropause and happens when there is a lack of testosterone in the body. Couple that with high cortisol levels, and you've got a recipe for flabby guts and double chins.

Fortunately, TRT treatments and physician-led weight loss programs can correct hormone imbalances and lead to healthy weight loss for men.

What is Sermorelin

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.

Benefits of Sermorelin

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
What is Ipamorelin

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.

Benefits of Ipamorelin

Benefits of Ipamorelin

One of the biggest benefits of Ipamorelin is that it is suitable for both men and women. It provides significant short and long-term benefits in age management therapies, boosting patients' overall health, wellbeing, and outlook on life. When growth hormone is produced by the pituitary gland using Ipamorelin, clients report amazing benefits.

Some of those 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 Starts Here

Whether you are considering our TRT services, HRT for women, or our growth hormone peptide services, we are here to help. The first step to turning back the hand of time starts by contacting Global Life Rejuvenation.

Our friendly, knowledgeable TRT and 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 Garfield, NJ

Wild New Jersey crash caught on video after woman suffers medical emergency at the wheel

GARFIELD, N.J. -- Dramatic video shows a driver slam into a light post and nearly hit a pedestrian before crashing into two parked cars in New Jersey.The crash happened Monday just before 2 p.m. in Garfield, New Jersey.Police said the 88-year-old driver suffered a medical episode but was conscious when medics took her to the hospital.During the episode, she apparently put her foot down on the pedal and lost control of the car. Her vehicle went onto the sidewalk, under a train trestle and struck a light post, traffic ligh...

GARFIELD, N.J. -- Dramatic video shows a driver slam into a light post and nearly hit a pedestrian before crashing into two parked cars in New Jersey.

The crash happened Monday just before 2 p.m. in Garfield, New Jersey.

Police said the 88-year-old driver suffered a medical episode but was conscious when medics took her to the hospital.

During the episode, she apparently put her foot down on the pedal and lost control of the car. Her vehicle went onto the sidewalk, under a train trestle and struck a light post, traffic light and large flower pot.

The car came close to striking a man walking under the trestle who was heading to work at Walmart.

The vehicle then sped through an intersection before crashing into two vehicles waiting at the traffic light and finally coming to a stop.

Authorities said the woman's seatbelt saved her life, and she only suffered minor leg injuries in the crash.

SEE ALSO: Video captures moment out-of-control car flies through air, slams into house

The pedestrian who narrowly escaped serious injuries spoke out on Thursday and said he considers himself very lucky.

"I heard the car and it went like ehhh... I saw it and I thought it was going to cross and it was coming to me," Warlin Almanzar said.

Almanzar got off a few stops early to grab food -- something he doesn't typically do.

"I had my empanadas in my hand, I just threw it and ran away," he said.

Almanzar narrowly escaped with his life, but a tire did go over his foot, and he will need to undergo therapy.

It was not yet clear what medical episode the woman was suffering from.

Abel Rodriguez was in his shop at the time of the crash and helped the driver.

"When I got to the vehicle, the door couldn't open but she seemed shocked; she didn't know where she was," Rodriguez said.

No other injuries were reported by people in the other vehicles.

Almanzar was especially grateful for that.

"My uncle says, because I have a good heart, God blessed me and saved me," he said.

Feels Like Déjà Vu: A Mediterranean Experience in Garfield, New Jersey

When you walk into Déjà Vu, in Garfield, NJ, you immediately notice the large bar and lounge area. So when a server comes around, you’ve surely already perused the selection of wine, cocktails, and beer (no draft pints). And right away, popular appetizers stand out. These include the signature Déjà Vu shrimp: lightly breaded, fried, and crispy, and served with a spicy garlic-mayo sauce.Combining American, Macedonian...

When you walk into Déjà Vu, in Garfield, NJ, you immediately notice the large bar and lounge area. So when a server comes around, you’ve surely already perused the selection of wine, cocktails, and beer (no draft pints). And right away, popular appetizers stand out. These include the signature Déjà Vu shrimp: lightly breaded, fried, and crispy, and served with a spicy garlic-mayo sauce.

Combining American, Macedonian, and Serbian cooking styles, the menu features Déjà Vu’s own take on Mediterranean cuisine. At this restaurant, you’ll find fresh, ground meat on skewers cooking over a hot grill, lounge seats around a big bar with cold cocktails and live entertainment.

Sipping drinks, popping shrimp, and taking in the restaurant’s ambiance provides ample time to coordinate entrée orders. You may find a well-designed flyer with top choices along with the full main menu. Along with skillful recommendations from knowledgeable waitstaff, these flyers will walk you through options you may not have tried in the past.

“For those experiencing our establishment for the first time, we highly recommend the Déjà Vu sofra,” notes co-owner Monika Aleksoska. “This delightful option provides a sampling of dishes, allowing newcomers to experience a bit of everything we have to offer.”

For the past two years, Aleksoska and her business partner, Ivana Vanev, have run the Déjà Vu show. As the owners, they have maintained and expanded the 25-year-old restaurant’s menu, staff, customer base, marketing efforts, and already stellar reputation.

Aleksoka and Vanev were born in Macedonia and Serbia, respectively. They met after they each moved to the States in the late 90s, and have been friends ever since.

In more recent years, they’ve built their lives in New Jersey. Professionally, they’ve been successful in their careers in corporate banking and human resources. Running Déjà Vu has been a passion project for them, and they’ve clearly pulled no punches in hiring a great team, and in sourcing products to build their menu.

“The menu primarily focuses on meats and salads, with less emphasis on pasta,” says Aleksoka. “I would describe it as Mediterranean cuisine.”

“The Déjà Vu sofra stands out as one of our most sought-after dishes,” says Aleksoka. “This generously sized platter is designed to satisfy two or three individuals and features a variety of delectable components. Included are kebapi, a savory sausage made from a blend of ground beef and pork, as well as makedonka, a succulent ground beef and pork patty stuffed with provolone cheese.” And that’s not all for this platter, which also showcases grilled pork or chicken rolls filled with provolone cheese and enveloped in bacon. This is just the beginning.

There’s also the bread bowl, which Vanev, Déjà Vu co-owner and graphic designer, describes as a unique creation, filled with flavorful ground beef and provolone cheese. “We take pride in crafting it fresh with the finest quality meat,” she says.

The variety of meat options reflect the Mediterranean-style cooking that characterizes this spot and the roots of the people who built the restaurant. Vanev notes that her own favorite item is the Déjà Vu burger.

Guests can rest assured that the drinks are strong, the desserts are rich, and the entrees are satiating—and high in quality protein.

“We take pride in making everything in-house, starting from sourcing certain meat directly from farms, grinding it, seasoning it, and shaping it ourselves. We never purchase [already] ground meat, which is something our customers find intriguing. It’s a labor-intensive and time-consuming process. While we face supply challenges from local farms at times, this meticulous process ensures that we consistently serve our customers the highest quality meat when preparing their meals.”

“When introducing new items like the quinoa bowl, we conduct a trial period during which we gather feedback and carefully document the presentation. Based on customer response, these items may potentially become permanent additions to our menu.”

The kitchen runs with two main chefs at the helm plus a hardworking crew, all to create Déjà Vu’s signature Mediterranean meals: Chef Vinny Miovski and Chef Aleksandar Mitkoski.

“Chef Vinny Miovski, by design, joined Déjà Vu six months before we acquired the restaurant,” says Aleksoka. “Chef Vinny’s extensive experience in launching new establishments from the ground up has proven to be instrumental in our success.”

Chef Aleksandar recently joined the team. Originally from Macedonia, Chef Aleksandar brings over 30 years of kitchen experience to the restaurant.

Déjà Vu has been known for live music on Saturday nights since even before Aleksoka and Vanev took ownership. This weekly party is an ode to the Balkan American community in Northern New Jersey.

“We’ve offered consistently, the Balkan Band on Saturday nights. We’ve now come up with a diverse base of bands like jazz on Sundays, or a modern-pop duo on Fridays,” says Aleksoka.

“Tonight, we have a six-member band performing inside, and we strive to maintain consistency in our offerings. We believe in sticking to what works well for us but plan to provide different entertainment options. We have invited talented individuals like DJ Chelli, who has a substantial following, and we also intend to introduce karaoke on Wednesday evenings. Our goal is to become a comprehensive destination for live entertainment.”

While Aleksoka and Vanev have made some notable changes, at Déjà Vu, guests who’ve visited before won’t notice much of a difference. Instead, the goal has been to broaden Déjà Vu’s audience.

“We’re fortunate to have been attracting a new crowd for both lunch and dinner. On certain days, it genuinely feels like we’re running a completely new restaurant. However, we value our longtime customers just as much as our new ones. When we spot unfamiliar faces, it gives us a sense of accomplishment, motivating us to strive even harder to ensure our customers’ satisfaction. We have great confidence in our offerings, and we are committed to expanding and further improving our services.”

Since finishing a major renovation in 2021, the restaurant is just as appealing to the eye as it is to the tastebuds. Guests either come here to recall homestyle cooking from their own childhoods, or to try food that they may have never had before. And now there’s also updated outdoor seating in the patio area. The result? A crowd from lunch all the way to dinner.

Déjà Vu is currently open daily from 11 a.m. to 2 a.m. (Hours are subject to change.) Head to the website to see what’s on the menu and head to Instagram for updates about entertainment and weekly events.

Déjà Vu 50 River Drive Garfield, NJ 973-777-5288

Wild crash caught on video in NJ after woman suffers medical emergency at the wheel

GARFIELD, New Jersey (WABC) -- Dramatic video shows a driver slam into a light post and nearly hit a pedestrian before crashing into two parked cars in New Jersey.The crash happened Monday near the intersection of Midland Avenue and Passaic Street just before 2 p.m.Police say the 88-year-old driver suffered a medical episode but was conscious when medics took her to the hospital.During the episode, she apparently put her foot down on the pedal and lost control of the car. Her vehicle went onto the sidewalk, under the Pas...

GARFIELD, New Jersey (WABC) -- Dramatic video shows a driver slam into a light post and nearly hit a pedestrian before crashing into two parked cars in New Jersey.

The crash happened Monday near the intersection of Midland Avenue and Passaic Street just before 2 p.m.

Police say the 88-year-old driver suffered a medical episode but was conscious when medics took her to the hospital.

During the episode, she apparently put her foot down on the pedal and lost control of the car. Her vehicle went onto the sidewalk, under the Passaic Street train trestle and struck a light post, traffic light and large flower pot.

The car came close to striking a man walking under the trestle who was heading to work at Walmart.

The vehicle then sped through an intersection before crashing into two vehicles waiting at the traffic light and finally coming to a stop.

Authorities say the woman's seatbelt saved her life and she only suffered minor leg injuries in the crash.

The pedestrian who narrowly escaped serious injuries spoke out on Thursday and said he considers himself very lucky.

"I heard the car and it went like ehhh... I saw it and I thought it was going to cross and it was coming to me," Warlin Almanzar said.

Almanzar got off a few stops early to grab food -- something he doesn't typically do.

"I had my empanadas in my hand, I just threw it and ran away," he said.

Almanzar narrowly escaped with his life, but a tire did go over his foot and he will need to undergo therapy.

It was not yet clear what medical episode the woman was suffering from.

Abel Rodriguez was in his shop at the time of the crash and helped the driver.

"When I got to the vehicle, the door couldn't open but she seemed shocked, she didn't know where she was," Rodriguez said.

No other injuries were reported by people in the other vehicles.

Almanzar was especially grateful for that.

"My uncle says because I have a good heart, god blessed me and saved me," he said.

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Passaic River Petrogylphs – Garfield

Petroglyphs, or rock carvings have never been fully documented in New Jersey, despite many surveys of Indian villages and shelters over the years. Located along the Passaic River in Garfield sits a sandstone boulder with markings believed to ascribe to the Woodland Period, dating from 1,000 B.C. to the Native Americans’ first contact with Europeans in 1650.The graffiti-marred stone has four carved symbols, a bear paw with claw marks, a fish, a phallus, and a set of initials. Thesymbols are said to represent the fishing te...

Petroglyphs, or rock carvings have never been fully documented in New Jersey, despite many surveys of Indian villages and shelters over the years. Located along the Passaic River in Garfield sits a sandstone boulder with markings believed to ascribe to the Woodland Period, dating from 1,000 B.C. to the Native Americans’ first contact with Europeans in 1650.

The graffiti-marred stone has four carved symbols, a bear paw with claw marks, a fish, a phallus, and a set of initials. The

symbols are said to represent the fishing territory of a particular group, or a warning that bears also fished in these waters. The phallus may suggest a sign to the spirits for an abundance of fish.

The bear paw and fish are similar in design, suggesting the same carver. The phallus is believed to have been chiseled by another,

possibly at a different time. Archeologists in the area believe it’s a truly exciting find, since no other petroglyphs have been found in the area.

The meanings of the Garfield Rock Carvings are as much a mystery as when exactly they were made, and by whom. Although the depiction of the bear paw, which is the most pronounced, seems to a Native American symbol, as does the phallus, the opposite side of the stone clearly shows the letters AL, and a score of five deeply etched into the boulder above the picture of a fish. This would seem to say that someone named Al or with the initials A. L. had caught five fish in the river that day. The fish appears to be jumping out of the water, and has a striking resemblance to the Field and Stream decals an outdoorsman might place on the back window of his 4X4 pickup truck. Perhaps the bear paw and the phallic symbol were also carved by Al while he was killing time waiting for the fish to bite and feeling a bit randy.

On the other hand, the location was undoubtedly a popular fishing location for both the local Indians and the white settlers of the area, and the engravings may have been made years apart. It is even

possible that the ancient graffiti on the boulder might represent a turf war of sorts between the old and new cultures which shared the river for a time, adding their “tags” to the stone much like modern day gangs mark their territory with spray paint.

Are these carvings ancient, or just a work of art crafted by a hobo or perhaps a truant schoolboy many years ago? We will probably never know the answers to this Stone Age question. The last time we visited the site the rock was smack dab in the middle of an encampment of homeless people. Apparently the river, and the carved stone, are still a draw for those who choose to live a primitive lifestyle.

Photos © Weird NJ / Mark Moran

The preceding article is an excerpt from Weird NJ magazine, “Your Travel Guide to New Jersey’s Local Legends and Best Kept Secrets,” which is available on newsstands throughout the state and on the web at www.WeirdNJ.com. All contents ©Weird NJ and may not be reproduced by any means without permission.

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