Qsymia- A New Medication For Weight Loss Management

qsymiaQsymia is an FDA approved combination medication of phentermine and topiramate (Topamax) indicated for chronic weight management. Although the precise mechanisms of action are not known, multiple mechanisms regulate hunger. Qsymia works on multiple pathways to help achieve and maintain weight loss. According to the CDC nearly 40% of adults in America are obese or extremely obese.

Qsymia is indicated as an adjunct to increased physical activity and reduced caloric intake in obese and overweight individuals.  Eligible patients should have a  body mass index (BMI) of 32 or greater (obese) or a BMI of 27 or greater (overweight) with a weight -related comorbidity – such as high cholesterol, hypertension or type 2 diabetes.  Qsymia is prescribed for once daily dosing in the morning.  Physician follow-up is usually monthly.

Dr. Anne Hermann is double board certified in internal medicine and nutrition.  She offers many weight loss and nutritional treatment options to her patients, including Qsymia.  Office locations are maintained in Tampa and Saint Petersburg Beach, Florida.  Please contact the office at 813-902-9559 for more information or to schedule an appointment.

 

 

 

Can Zinc Help Alleviate Common Cold Symptoms?

zincOral zinc therapy initiated within 24 hours of common cold symptom onset, may reduce duration of the common cold in healthy people.    The common cold is caused by human rhinoviruses that attach to the inside of the nasal passages.  Zinc ion blocks this attachment.  Thus, an antiviral effect is elicited.

In one recent multi-country study, zinc was associated with shorter duration of cold symptoms but not severity.  Zinc formulations included in the study were syrup and lozenges.  Prophylactic zinc use in children resulted in reduced cold incidence; prophylactic use was not studied in adults.  The study was unable to quantify a recommended dosage of zinc as release of the zinc ion varies across formulations (syrup and lozenges).  Side effects were minimal, study participants reported bad taste and nausea with zinc lozenges use.

Dr. Anne Hermann, a holistic internal medicine physician, maintains offices in Tampa and Saint Petersburg Beach, Florida.  Please contact the office at 813-902-9559 for more information or to schedule an appointment.

Can Exercise Help Improve My Gut Health?

gut floraBritish researchers have recently reported that exercise can increase the diversity of bacteria in the gut, in turn boosting the immune system and positively affecting long- term health. Increasing dietary protein may also be beneficial for gut health. Life expectancy continues to increase, underscoring the importance of good health. Gut microbiota richness and diversity is essential for overall wellbeing.

Athletes involved in the recent British study had lower levels of inflammatory markers and better metabolic profiles than the control group. They also had greater diversity and quantity of good gut flora. In particular, the athletes had much higher numbers of one particular type of bacteria linked to reduced rates of obesity. Consuming a variety of foods including protein, vegetables and fruits was also identified in the study as essential for gut health and immunity.

Dr. Anne Hermann, a holistic internal medicine physician, offers a variety of meal planning and weight loss services as well as food sensitivity testing to her patients. Dr. Hermann is also board-certified in nutrition. Offices are maintained in Tampa and Saint Petersburg Beach, Florida. Please contact the office at 813-902-9559 for more information or to schedule an appointment.

Could I Have Celiac Disease?

celiac word in letterpress typeCeliac disease is an autoimmune disorder that interferes with the body’s ability to digest gluten.   Gluten is a protein in wheat, barley and rye.   It is an abnormal immune reaction to gluten and a disease of malabsorption.  Currently 3 million Americans have been diagnosed with celiac disease.  However, there are estimates that an additional 2.5 million more are affected but have not yet received a diagnosis.

Symptoms of celiac disease can vary greatly amongst individuals.  Digestive symptoms are more common in young children and may include chronic diarrhea, vomiting, constipation, abdominal pain and bloating and weight loss.  In adults, the following symptoms are more likely:  iron deficiency anemia, fatigue, bone or joint pain, depression, anxiety, dermatitis herpetiformis and canker sores.   Some patients with celiac disease have no symptoms.  Even if no symptoms are present, long-term complications include liver disease, malnutrition and cancers of the intestine.  Treatment for celiac disease involves eliminating all gluten from the diet.  This is a lifetime requirement.

Dr. Anne Hermann, a holistic internal medicine physician, offers celiac and food sensitivity testing to her patients.   Offices are maintained in Tampa and Saint Petersburg Beach, Florida.  Please contact the office at 813-902-9559 for more information or to schedule an appointment.