Ridding Your Body of Dangerous Toxins with Detoxamin

detoxWe are constantly exposed to toxins in our everyday lives and activities.  When we breathe, eat, drink, shower, brush our teeth, apply makeup and lotions, clean our homes, from wearing laundered and dry-cleaned clothing, driving, medications, smoking/exposure to secondhand smoke, pesticides and pollutants in the air, rain and soil. Heavy metal toxins such as lead, mercury, arsenic, cadmium, nickel, as well as chemical toxins accumulate in our bodies often at a faster rate than our bodies are able to naturally excrete them. This exposure and accumulation of toxins can cause damage your nervous, immune, cardiovascular systems and even the reproductive systems.

Toxins have been linked to putting you at a higher risk for serious degenerative diseases like cancer, heart disease, stroke, diabetes, autoimmune diseases, Alzheimer’s, Autism, ADD and and many others. At Anne Hermann Wellness, MD, PA, we offer solutions for you to rid yourself of these toxins. Continue reading “Ridding Your Body of Dangerous Toxins with Detoxamin” »

Is Hormone Pellet Therapy Right for YOU? If so, it is NOW available at Hermann Wellness

There are many different ways to administer hormones including pills, creams, injections, patches and pellet therapy. We at Hermann Wellness believe pellet therapy is a great and more stable way to deliver bioidentical hormones. The pellets are tiny, about the size of a grain of rice, and after numbing a small area with local anesthetic, are inserted them under the skin of the lateral buttocks. The procedure is a quick in-office treatment that is less painful than having your blood drawn. For women, we usually use pellets that have either estradiol and/or testosterone. Women are sometimes surprised that they might need testosterone in addition to estradiol but most perimenopausal and post-menopausal women indeed need both testosterone and estrogen to regulate their hormonal imbalance and symptoms. In men, we use testosterone only.

Many studies have shown that pellet therapy is a superior method of delivering bioidentical hormones. Pellets secrete a small amount of hormones throughout the day, providing a more consistent level of hormones in the body. No other delivery method is as effective or can maintain the consistent blood levels of estrogen and testosterone. This distinguishes pellet therapy from other forms of hormone delivery such as pills, patches, creams, gels, sublingual tablets and injections, that have peaks and valleys. This can cause unwanted side effects and/or be less effective in managing symptoms. The other added benefit of bioidentical hormone pellets is when the body requires more hormones due to mental or physical stress. They are hassle- free and convenient form of bioidentical hormone replacement that eliminates concerns and risks of forgetting to take your pills or applying your patch or rubbing on your cream.

Bioidentical hormone pellets are synthesized from natural source soybeans. The pellets are either pure estradiol or pure testosterone and dissolve completely over a 3-6 month period.

Pellet therapy is used to combat the symptoms of menopause and perimenopause such as mood swings, memory loss, foggy thinking, irregular periods, menstrual headaches, fatigue, psychological complaints, vaginal dryness, decreased sex drive, bloating, hot flashes, night sweats, problems sleeping, loss of muscle and bone mass and collagen loss and other skin related issues. Women using bioidentical pellet therapy feel more youthful and rejuvenated. For men, it can make them feel 10 to 20 years younger by improving their energy level, increasing sex drive, improving moods, elevating cognitive function and memory, help with sleep, aiding in increasing muscle mass as well as decreasing joint pain, minimize sweating and help decrease excessive abdominal fat.

The pellet insertion procedure itself takes less than 10 minutes. We numb the area with a local anesthetic, then a tiny incision is made and the pellets are inserted with a small insertion device. After the pellets are inserted, a small piece of tape is placed to close the incision; no stitches are needed.

Many women have tried various kinds of hormone replacement therapy (HRT) and have simply been dissatisfied with the way they have felt. As men age, they can become more easily irritable, tired and less active because of decreased testosterone. Now, both men and women can do something about the negative effects of hormone imbalance by using bioidentical pellet therapy to make them feel younger and enjoy life to its fullest. Make an appointment with either Robin McClain ARNP-C or Dr. Hermann, at Hermann Wellness in Tampa or St. Pete by calling: 813-902-9559.

The Vampire Facelift comes to Tampa and St Pete


You may have been hearing about a procedure called the “vampire” lift or facial for skin rejuvenation. It is popular among Hollywood Celebrities to aid them in maintaining a more vibrant healthier complexion. This is a non-surgical procedure in which we use your own blood’s healing powers to stimulate collagen growth.  First we perform a blood draw, then we extract your platelets from the test tube.  The platelets create a serum called Platelet Rich Plasma or PRP.  The serum is not red but clear, so, in fact, the word “Vampire” is misleading.  PRP contains high levels of growth factors that stimulate collagen production.  When PRP is applied to the face via microneedling or injection, it promotes cell repair and promotes a more youthful appearance.

PRP (Platelet Rich Plasma) has been used to promote healing of joints, hair growth, and now, in Tampa and St. Pete, Hermann Wellness offers PRP for facial rejuvenation. PRPand micro needling can be used as an individual treatment or together for better results. PRP works by activating your own stem cells via growth factors beneath the skin to encourage new tissue growth leading to healthier skin by treating wrinkles and scars. Micro needling causes multiple microscopic channels to activate the body to repair itself by depositing collagen and elastin while increasing blood flow to the area restoring a more youthful appearance by treating fine lines, pores, mild  scars and stretch marks. These treatments are easily administered to all skin types and colors with no clinical downtime. When PRP and micro needling are combined together they provide a corrective and preventative procedure to treat fine lines and wrinkles, manage scars from acne or other injuries, improve skin texture and tone, minimize the appearance of  stretch marks and stimulate new collagen growth.
Micro needling procedures with or without PRP are performed in a safe, precise manner with the use of a sterile needle head. The procedure is normally completed within 30-60 minutes depending on the treatment and anatomical site.  Prior to treatment, we apply a topical anesthetic to the skin to ensure a comfortable experience. After the skin is numbed, the provider will prep the skin and gently move the micro needling device over the your skin to create micro channels. These microscopic channels will stimulate new collagen and elastin deposition and, if combined with PRP, will lead to new tissue growth and stimulate growth factors that lead to a more robust stimulation of collagen and elastin.  Generally, mild visible results are seen within 6 to 8 weeks following treatment and continue to improve over time. It is recommended to do 4 to 6 treatments to obtain maximum benefit.
After the procedure, your skin may be flushed similar to a sunburn.  This will diminish greatly after a few hours following treatment and, within the next 24 hours, the skin will be completely healed. After 3 days, there is barely any evidence that the procedure has taken place.
PRP and micro needling can be done alone or in conjunction with other cosmetic services. To learn more about PRP or other cosmetic services see Robin McClain ARNP cosmetic specialist at Hermann Wellness. To make a appointment at either of our conveniently located offices call Tampa at 813-902-9559 or St. Petersburg at 727-278-3992.

What is IV Nutrient therapy?

IV nutrient therapy is a combination of vitamins that are given through the vein.  It can help boost the immune swellnessystem, increase energy levels and help manage many chronic health problems.  Typically when digestion occurs, nutrients are absorbed into the blood stream from cells of the inner lining of the intestines. If there is a damage to the intestinal cells or digestion is weak, nutrients will not be absorbed.

IV nutrient therapy can help replenish nutrients and provide rapid symptom relief. When people become sick from either an acute or chronic illness, the body requires higher concentrations of nutrients. With IV nutrient therapy, nutrients are directly absorbed to fuel cells.

IV nutrient therapy is done in the office. Patients sit comfortably and a sterile IV line is started. IV nutrient therapy will last approximately 20 minutes, but may vary depending on the specific composition of nutrients being infused. A complete treatment course generally requires a series of IV infusions.

At Hermann Wellness we offer IV nutrient therapy to our patients. Our offices are located in Tampa and St. Petersburg. Please call the office at 813-902-9559 for more information or to schedule an appointment.

Contrave: A New Weight Loss Medication

Contrave is an FDA approved weight loss medication for obese and overweight individuals.                                                            It contains a combination of 2 belvicdrugs: bupropion and naltrexone. Bupropion is an antidepressant used to treat depression and is also used to help individuals quit smoking. Naltrexone is used to treat alcohol and narcotic dependence.

The combination of these drugs with a reduced caloric lifestyle and physical activity has been shown in studies to decrease weight loss by 4 percent after one year of use. Eligible patients should have a body mass index (BMI) of 30 (obese) or higher or a BMI of 27 (overweight) or higher with a weight related comorbidity such as high cholesterol or diabetes.

Contrave should be avoided in individuals with a history of seizures, uncontrolled high blood pressure, and eating disorders.

At Hermann Wellness we offer many weight loss and nutritional treatment                                                                              options, including Contrave. Our offices are located in Tampa and St. Petersburg.                                                                        Please call the office at 813-902-9559 for more information or to schedule an appointment.



dr_susan_beavenOur lives are all about the balance and integration of our many parts. The yin and yang, the building up (anabolic) and breaking down (catabolic), sympathetic and parasympathetic nervous systems are to name a couple. When we lose the balance in our bodies, it causes disease. When we experience a of combination of symptoms like fatigue, joint pain, muscle pain, headache, abdominal bloating and pain, it tells us that many systems in our body are out of balance. We need to find and treat the main imbalances and our body will start to rebalance itself and heal. Now more than ever in this age of specialization, we need our health care providers to look at our bodies and health as a whole and how each part affects the other.
A lovely quote from Jeff Bland PhD, the father of Functional Medicine, “Functional Medicine is the science of creating health. Disease goes away as a side effect”.

The highest balance/integration is the balance between the mind (emotional), body (physical), and spirit. Within the body, the neurological, endocrine, and immune systems must be balanced. Any disruption in any system causes the others to malfunction. Within the endocrine system three of the major systems, the thyroid, adrenal, and sex hormones must be balanced. Failure to do this is why some people do not feel quite right on sex hormone replacement alone. For instance, elevated levels of cortisol from the adrenal glands causes a change in the binding of the sex hormones and the amount of free hormones like estrogen available to perform their functions.

Hypothyroidism is a good example of the effects of different organs on another. Treating hypothyroidism is not just a matter of testing and TSH and finding it to be elevated and then giving the patient medication to fix it. It is necessary to ask the question ”why did this occur? ”. Then to find the root cause(s), begin the proper treatment(s) and balancing our bodies allowing them to heal. It is necessary to have the proper nutrients such as iron, iodine, tyrosine, zinc, selenium, vitamin E, B2, B3, B6, C and D to make thyroid hormones. So we must eat a healthy, nutrient dense diet, but that is not enough. We must digest and breakdown and absorb those foods-the proteins, fats and carbohydrates. So we can have the nutrients from those foods available to us to use in the many cellular reactions in our bodies and in this case to make thyroid hormone.

Here are examples of the gut-thyroid balances/interregulation. Medicines like the protein pump inhibitors, Prilosec, can interfere with the absorption of vital nutrients that can lead to disease states like hypothyroidism and osteoporosis. Surgeries like removal of the gallbladder, and stomach surgeries for weight loss and also alter the ability for digestion and absorption of our food. Celiac disease, an autoimmune disease, causes damage to the intestinal lining and problems with digestive enzyme production, absorption of foods. This damage to the lining gives loose connections between the cells (leaky gut) and allows foods to pass from the gut into the blood stream and body. This causes the body to react to these ‘foreign invaders’ and produce antibodies leading to autoimmune diseases like Hashimoto’s thyroiditis.
Hypothyroidism is known to cause elevation in the cortisol levels. It is felt to do this as it is causing metabolic stress on the cells. And elevated cortisol levels suppresses TSH and low cortisol levels cause a high TSH. This is an example of the thyroid axis and adrenal axis interplay.

Cholesterol metabolism is another example of complex interplays. High cholesterol
Is not a statin deficiency. It comes from a variety of causes. It can come from genetic, inflammation, hypothyroidism, insulin resistance, the foods we eat and stress. Just because our genes say we have inherited a particular genetic sequence, does not mean that we are doomed. Another of my favorite quotes by Dr. Bland is “Genetic expression=Our genes get messages from our interactions with the environment and with how we choose to behave. They translate those messages into cellular instructions. These instructions are then what control our health and disease patterns. Genetic inheritance is not fate. Your lifetime health was not predetermined at your conception. On the contrary you have the opportunity-and the power-to shape your own pattern of health and longevity. It’s what personalized health management is all about”.
Insulin resistance can come from high cortisol levels, problems with carbohydrate metabolism from excessive intake, and stress increases cortisol levels. Insulin resistance can cause high cholesterol levels. It is all really interrelated and interdependent. So when you get that high cholesterol level back, you can see why just putting you on a statin isn’t the answer. One of the reasons that statins have been shown to work in the studies is that they do decrease the inflammation which is one of the causes of high cholesterol. In Functional/Integrative Medicine, we have other ways to treat the inflammation. First we need to find the source. We need to look at the whole picture and decide on a treatment plan. We access genetic risk and then how our environment affects this causing those genes to express or not. Are we eating a diet that is balanced and giving us the proper nutrients? Are we eating too many carbohydrates and the wrong kind of fats?
Do we have in place a daily lifestyle plan that we use to modulate the stresses in our lives? Are we exercising and not excessively? Have we evaluated our thyroid and adrenal (cortisol and adrenaline) function? Have we identified any inflammation that could be causing the problem? So all these factors need to be taken into consideration when treating high cholesterol to treat it appropriately.

Another important interplay is between cholesterol and sex hormones and cortisol. Cortisol is the ‘mother’ substrate necessary for the production of adequate sex hormones like progesterone, estrogens, DHEA, testosterone, and cortisol. If we don’t
have enough cholesterol, we can’t make these hormones and have deficiency states. Driving cholesterol down too far with statin drugs becomes a problem for our hormone production and we become symptomatic. So the hot flashes, fatigue, insomnia symptoms that a woman is presenting with can be coming also from this very low cholesterol.
We all know that stress is necessary for our health and too much either of the right kind which gives us high cortisols initially or the wrong kind damages our bodies. Elevated levels are a tear me down situation, not a build up the body.
Too much exercise contributes to this problem also.

We need to balance our lives with proper foods, exercise, stress management, and attitudes. Be happy, generous, and most of all be yourself.
I am happy to help you on your journey to optimal health, happiness and well -being.

Dr. Susan Beaven, MD is a board certified Family Medicine physician and one of 215 internationally certified in Functional Medicine by the Institute of Functional Medicine. She is a Diplomate of the Academy of Integrative Health & Medicine. Her extensive training, qualifications and experience in allopathic Medicine and Functional/Integrative Medicine allow her to provide patients with exceptional care.
Dr. Beaven works at Hermann Wellness on 6387 Central Avenue, St Petersburg, FL.
Call 727-278-4992 for an appointment for a comprehensive evaluation and plan.
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Health Benefits of Fiber

Fiber is the part of plant foods that cannot be digested. It is divided into soluble and insoluble fiber.                                         The difference is solubleFibres examples fiber dissolves in water and turns into a gel like substance where insoluble fiber does not. Soluble fiber slows down digestion, helping us to feel full longer and has been associated with reducing cholesterol. Insoluble fiber adds bulk to the stool since it does not dissolve and helps food to move through the intestines more quickly maintaining a healthy intestinal tract.

Sources of fiber include: legumes, vegetables, fruit, and whole grains. Foods especially high in fiber include flax seed and psyllium. The FDA recommends on average of 20 to 30 grams of fiber in the diet; however, most Americans fail to reach this goal due to a diet high in refined grains. Refined grains have been milled to give grains a finer texture and to improve shelf life; however, in the process dietary fiber is also removed. Low fiber in the diet leads to constipation and the downstream effects from impaired elimination (removal of toxins from the body).

Bacteria that house our intestines feed on fiber and the by products are what keep our gut healthy. In particular, buytrate is a substance made by bacteria in the colon from fermentation of certain fibers and has anti-inflammatory and anti-oxidant effects. A study published in the American Journal of Clinical Nutrition suggests that the greater production of butyrate may explain why colon cancer is less common in native residents of Africa than African Americans. Although additional research is needed in this area, evidence is promising that butyrate made from fermentation of fiber may be protective against colon cancer.

At Hermann Wellness we over comprehensive stool analysis that includes butyrate testing. Our offices are located in Tampa and St. Petersburg. Please call the office at 813- 902-9559 for more information or to schedule an appointment.


Magnesium is one of the most abundant minerals found in the body. It is found in                                                                       bone, teeth, red blood cells and is vital for 3d Magnesium elementmany systems in the body including the cardiovascular, muscular, and nervous system. Magnesium deficiency can result from a variety of causes and can be divided into 2 main categories: inadequate dietary intake or increased loss either via the GI tract or kidneys. There are also many drugs that deplete magnesium levels such as medications for reflux (Prilosec, Zantac, Nexium), statins, and some blood pressure medications.

Common symptoms of low magnesium include muscle cramps, weakness, heart palpitations, constipation, insomnia, and headaches. Magnesium is found in many foods such as whole grains, nuts, and green vegetables; however, most people do not get enough from their diet.

Low magnesium levels are associated with endothelial (blood vessel) dysfunction, increased C-reactive protein (inflammation marker), and decreased insulin sensitivity. The World Organization reports “low magnesium is implicated in hypertension, coronary heart disease, type 2 diabetes and metabolic syndrome” confirming its significance in maintaining the body’s overall health. According to the National Health Institute the daily recommended intake of magnesium is 420mg for men and 320 mg for women. There are many forms of magnesium: chelate, citrate, and glycinate.

When checking magnesium levels it is important to check RBC magnesium. Serum blood levels do not accurately reflect levels because the body will maintain a steady supply to ensure adequate levels for the heart.

At Hermann Wellness we offer Nutrient testing to our patients including magnesium. Our offices are located in Tampa and St. Petersburg. Please call the office at 813-902-9559 for more information or to schedule an appointment.

What is LDN (low dose naltrexone)?

Naltrexone is a synthetic drug that blocks opiate receptors in the                                                                                                    central nervous system, which are responsible for the pillsensation of pleasure derived from narcotics.  Naltrexone is typically used for heroin addiction and is FDA approved at doses of 50mg. It is also used in alcohol and drug addiction.

In recent years, lower doses of naltrexone have been used to treat autoimmune conditions such as MS (multiple sclerosis), rheumatoid arthritis, ulcerative colitis and crohn’s disease. The lower dosing of naltrexone is commonly referred to as LDN (low dose naltrexone). The typical dose ranges from 3.5mg to 4mg and is recommended to be taken at bedtime. Low dose naltrexone is inexpensive and well-tolerated.

LDN was first used by a physician in 1985 who found that it boosted the immune system in AIDS patients. It is thought that by briefly blocking opioid receptors, LDN causes an increase in endorphins and enkephalins (our body’s natural pain killers). These natural opioids are believed to influence our immune system as we have opioid receptors on immune cells. In particular, blocking the opioid receptors at night is thought to cause a longer up regulation hence LDN is recommended to be taken at night.

At Hermann Wellness we offer Holistic Primary Care to our patients including Low Dose Naltrexone. Our offices are located in Tampa and St. Petersburg. Please call the office at 813-902-9559 for more information or to schedule an appointment.

How to Prepare for a Testosterone visit at Hermann Wellness

Feeling tired? Experiencing a low sex drive? Noticing a loss of muscle mass? You may be experiencing symptoms from low testosterone word in letterpresstestosterone levels. Testosterone is a hormone produced by the body that is responsible for stimulating sperm production, maintaining sex drive, and building muscle in males. Low testosterone is diagnosed when levels fall below 300ng/dl. The normal range is from 300-1000 ng/dl.

Your initial visit for low testosterone will include a prostate exam to assess the heath of your prostate and blood work to check baseline CBC (blood counts), PSA level (prostate level), and free/total testosterone. Testosterone therapy can affect the prostate so a yearly prostate exam is required while on treatment as well as periodic blood work to monitor PSA levels. Testosterone therapy can also affect the red blood cell counts (hematocrit) causing them to increase thus is monitored regularly. Estradiol (estrogen) levels may be checked after testosterone replacement and sometimes an aromatase inhibitor will be given to reduce levels if found to be elevated. Labs are monitored every 3 months. Options for testosterone therapy include clomid, which is an oral medication that helps kick start the body’s own natural production of testosterone. This is a good option for young males to prevent sterility and is often used for only 3 to 6 months. Other options of testosterone replacement include gel, bioidentical cream, patch and injection. The best option will be selected during your visit.

At Hermann Wellness we offer hormone testing and therapy. Our offices are located in Tampa and St. Petersburg. Please call the office at 813-902-9559 for more information or to schedule an appointment.