Can N-acetylcysteine Increase My Glutathione Levels?

antioxidantN-acetylcysteine (NAC) is a pro-drug for the amino acid cysteine. Supplementing with NAC increases intracellular levels of glutathione, which is a super-antioxidant. Deficiency of intracellular glutathione can worsen oxidative stress and accelerate cellular death in diseases such as Alzheimer disease, Parkinson disease, liver disease, cystic fibrosis, sickle cell anemia, HIV/AIDS and diabetes.
According to the World Health Organization (WHO), NAC is essential for pulmonary and renal functions and is used for antimicrobial purposes. It is identified as one of the most important medications needed in a basic health system. Massive cellular death can occur when an organism is starved of cysteine. However, the actual mechanism of cellular death appears to be more closely related to the loss of available glutathione.

NAC has very few documented side effects. The most commonly reported side effect is gastric distress when higher doses of NAC were given. NAC is typically found in the form of powder filled capsules. Typical dosing is 600mg give 3 times daily. NAC is not found in food sources, but high protein foods such as eggs, wheat, broccoli and poultry are good sources of cysteine.

At Hermann Wellness, Dr. Anne Hermann and staff, offer comprehensive vitamin testing and nutritional counseling services to 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.

Can Acupuncture Help Me Stop Smoking?

This ancient medicinal procedure has been used extensively to help with addictive disorders, including smoking. Within 10-20 seconds of inhaling on a cigarette, nicotine reaches the brain – causing a surge of dopamine to be released. Dopamine is one of the chemicals our brain produces to cause a feeling of pleasure. Addiction is best assessed and treated from several perspectives – physical, mental and emotional. Acupuncture can help alleviate cravings, reduce anxiety and calm the mind.

Many acupuncturists will utilize a technique promoted by The National Acupuncture Detoxification Association. In this technique, fine needles are inserted into a set of five acupuncture points on the ear (auricular acupuncture). Ear seeds can also be utilized. These are seeds from the Vaccaria plant that are held in place on the ear with adhesive tape. They are located on specific sites that help reduce stress and anxietyacupuncture smoking, cleanse the lungs, open the chest, calm the mind and strengthen will power. When a craving occurs, patients should rub the ear seeds for approximately 30 seconds. Also, rubbing them throughout the day will help support the ongoing acupuncture treatments.

Generally, treatments are scheduled several times per week for the first couple of weeks – this is helpful during the acute phase of nicotine withdrawal. Patients will typically experience a decrease in cravings and a change in sensory perception as the smell and taste of cigarettes becomes intolerable. Often, acupuncture is used as an adjunct with pharmaceutical approaches to achieve the best treatment outcomes.

Hermann Wellness maintains locations in Tampa and Saint Petersburg, Florida. Acupuncture services are offered at both locations. Please contact the office at 813-902-9559 for more information or to schedule an appointment.

Should I be taking a Multivitamin?

iStock_000014174710SmallThis is a common question I am asked by patients and not surprising, the answer is not a simple one size fits all. It is possible to get all your essential nutrients through a healthy, balanced diet full of diverse fruits and vegetables. However, most people fail to meet the goals of 5-7 servings of fruits and vegetables per day. In fact, the CDC reports that only 32.6% of Americans consume fruit two times per day while only 27% ate vegetables more than three times per day. Based on the trend of our current eating habits, it is clear that dietary sources alone are often insufficient for providing key nutrients. To complicate matters, trend data for common crops in the past decade shows a significant decline in key nutrients. So while on average we are consuming less than the goal of fruits and vegetables per day, our foods also contain less nutrients.

Not everyone agrees that multivitamins are necessary though. In 2006 the NIH (National Institute of Health) concluded “there is insufficient evidence to recommend for or against the use of multivitamins by the American public to prevent chronic disease.” While there is not a consensus on the recommendation of multivitamins, it is evident that special populations do benefit from supplementation such as the elderly, child-bearing age, pregnancy, and strict vegetarians. People over the age of 60 often do not get the nutrients they need from the diet alone as our ability to absorb nutrients decreases. Women of childbearing age need higher amounts of folate (a B vitamin) to prevent neural tube birth defects. Strict vegetarians and vegans typically do not get enough vitamin B12, iron, calcium, copper, and zinc in the diet. So a multivitamin could be a good way to make up for nutritional shortfalls in the diet, but remember it does not replace a healthy diet. So, what if you do not fall into one of these special categories? Is a multivitamin right for you?

At Hermann Wellness we offer our patients specialized nutrient testing that can help determine the need for dietary supplementation. Please call the office at 813-902-9559 for more information or to schedule an appointment.

Does A Vegetarian Diet Reduce My Risk of Developing Heart Disease?

Healthy foodAccording to The Centers For Disease Control and Prevention, cardiovascular disease is the leading cause of death among adults in the United States.  Controllable risk factors for heart disease include: cholesterol level (LDL and HDL), diabetes, obesity, and systolic blood pressure.  An individual’s age and smoking status are also considered predictors for cardiovascular disease.  Several recent studies have suggested that a vegetarian diet is effective at reducing controllable risk factors for heart disease.

There are various types of vegetarian diets including:  Vegan (exclusively plant-based foods), Lacto-ovo vegetarian (eggs, milk and milk products are included), Pesco – vegetarian (same as lacto-ovo but includes fish and seafood), and Semi-vegetarian (primarily plant based, with occasional meat consumption).

Numerous studies have proven that a plant based diet can decrease a person’s risk of heart disease by reducing risk factors such as high blood pressure, high cholesterol, diabetes and obesity.  Often, the adopting a plant based diet will even reverse lesions of occlusive coronary artery disease.  Additionally, patients at risk for developing cardiovascular disease who adopt a vegetarian diet, or at least modify their current diet by reducing red meat and saturated fat intake can reduce or prevent the need for medications.  Given the recent trend in healthcare toward preventative medicine, dietary and lifestyle modifications should be encouraged to reduce cardiovascular disease risk.

Dr.  Anne Hermann, a holistic internal medicine physician, is also board-certified in nutrition.  She offers nutritional counseling and dietary modification programs to her patients.   Please contact the office at 813-902-9559 for more information or to schedule an appointment.

The use of Clomid in treating low testosterone.

testosterone word in letterpress

Generally, when low testosterone is diagnosed, testosterone replacement therapy is prescribed. It commonly comes in the form of cream, gel, pellet, patch, and injection. While these therapies are effective, there are known side-effects such as testicular shrinkage, prostate enlargement, breast enlargement, low sperm count/sterility, and overproduction of red blood cells. Given the side effect of sterility, testosterone replacement is not the ideal option for men who want to have children. I feel a better option to consider is the use of clomiphene citrate (Clomid).                                                            

Clomiphene citrate is a prescription medication originally used to treat infertility in women. It works by stimulating an increase in the amount of hormones (FSH and LH) that support the growth and release of a mature egg (ovulation). These are the same hormones that increase testosterone, sperm production, and fertility in men.

In a healthy male the pituitary releases LH, the hormone which signals the testes to produce testosterone. After testosterone is produced, some of it is converted to estrogen. Estrogen then signals the pituitary to stop making LH. This is known as a feedback mechanism, where the body communicates with the brain when there is a need for hormone production. With traditional testosterone replacement, the brain gets the message that there is plenty of testosterone being made in the testes. The pituitary stops producing LH and subsequently the natural production of testosterone stops, which leads to the common side effects of testicular shrinkage, low sperm count, and infertility.

Clomiphene citrate on the other hand does not turn off the production of testosterone, it rather stimulates the body’s natural production of it by increasing LH, the hormone responsible for testosterone production. It comes in a pill form and is safe to use with minimal side effects. Some men may require continuous use of clomiphene citrate while others may need it only for 3-6months.

At Hermann Wellness, we offer our patients Clomid therapy for low testosterone. Please call the office at 813-902-9559 for more information or to schedule an appointment.

Vitamin D and Protection Against Autoimmune Disorders

3d vitamins.Exposure to UV radiation seems to protect against autoimmune diseases such as MS and Type 1 diabetes.  Studies have shown that the closer you live to the equator, the less likely you are to develop an autoimmune disease.  Individuals who reside in the southern United States are less frequently diagnosed than individuals who reside in Canada and the northern United States.  The early years matter also, if you lived in the south your first 10 years, you have a reduced risk of developing MS even if you move to a northern state or area and reside there the rest of your life.

The production of vitamin D is triggered by ultraviolet B rays from the sun.  Vitamin D helps modulate your body’s defense system.  Studies have shown that in individuals who have the potential for developing autoimmunity, vitamin D reduces the risk and may in fact slow the progression of certain autoimmune disorders in their early stages.  2000-4000 IU’s daily of vitamin D is recommended by most experts.

Dr. Anne Hermann, a holistic internal medicine physician, offers comprehensive vitamin and nutritional testing to her patients.  As well as alternative treatment options for many health conditions, including autoimmune disorders.  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.

Vitamin C For Healthy Skin

Portrait of teenage girl holding lemonVitamin C is essential for maintaining healthy and resilient skin.  As we age, we naturally lose this nutrient; other factors such as exposure to pollutants, UV light and cigarette smoke can also cause a loss of vitamin C.

Vitamin C plays an important role in the formation of collagen, a protein that gives your skin its elasticity.  Optimizing your skin’s level of vitamin C can help to counteract wrinkle formation by increasing collagen production amounts.

Another common skin concern that can be corrected with vitamin C is age spots caused by sun damage.  Vitamin C is a powerful antioxidant; it can reduce the amount of sunburned cells and reduce age-related damage to cells.  Although vitamin C does not replace sunscreen, it may protect against further sun damage and repair discoloration and fine lines.

Topical vitamin C is the best formulation (rather than supplement or food sources) to target signs of aging.  When purchasing vitamin C, look for products that contain between 3%-10% of the active ingredient ascorbic acid or L-ascorbic acid.  Apply topical vitamin C once a day, ideally after exfoliation in the morning.  You can expect to see a noticeable difference in your skin within 4-8 weeks of beginning topical vitamin C.  Maximum benefits are achieved with 6 months of use.

Dr. Anne Hermann, a holistic internal medicine physician, offers full aesthetic services and numerous skin care treatment regimens 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.


Do I Need Iodine Supplementation?

Closeup of sea salt on rustic wooden backgroundIodine is a naturally occurring mineral that until the 1940’s was routinely used for a number of health concerns/conditions.  In the 1920’s iodine was added to table salt to reduce the incidence of goiter (enlarged thyroid gland).  Your thyroid gland requires iodine to function normally.  Iodine deficiency typically results in low circulating thyroid hormones or hypothyroidism.

Iodine deficiency can also lead to autoimmune disease of the thyroid and may increase the risk of developing certain cancers (thyroid, prostate, breast, endometrial and ovarian cancers).  Iodine deficiency is a common world health problem.  The most recognized form of deficiency is the goiter.  Iodine deficiency is also thought to be the most preventable cause of mental retardation.

Foods rich in iodine include sea vegetables (kelp), shrimp, scallops, eggs, and yogurt.  Adults require 150mcg of iodine daily for optimal health.

Dr. Anne Hermann, a holistic internal medicine physician, offers comprehensive nutritional counseling and vitamin 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.


Do I Have Adrenal Fatigue?

adrenal fatigue1The adrenal glands produce a number of hormones, including cortisol. Cortisol is our stress (“fight or flight”) hormone. Adrenal fatigue occurs when the body is under chronic stress and the adrenals are unable to keep pace with the demands of a constant fight- or- flight state of arousal. Thus, the adrenals do not function at their optimal state – they are unable to produce enough of the hormones you need to feel your best.

Signs of adrenal fatigue include: difficulty arising in the morning, continued fatigue, lack of energy, craving salty foods, decreased libido, difficulty coping with stress, increased PMS symptoms, difficulty focusing (brain fog), and decreased productivity.

To heal adrenal fatigue, it is crucial to decrease stress levels and optimize your health. This can be achieved by eating a whole food diet, avoiding processed foods, and keeping a regular sleep schedule – preferably 8 hours. The following supplements are also beneficial: B complex, vitamin D, vitamin C, adrenal support or licorice root, and omega 3 fatty acids.

Dr. Anne Hermann, a holistic internal medicine physician, maintains offices in Tampa and Saint Petersburg Beach, Florida. Dr. Hermann offers patient care for adrenal fatigue as well as acupuncture, comprehensive vitamin testing and food sensitivity testing. Please contact the office at 813-902-9559 for more information or to schedual an appointment.

Can Eating More Fruits and Vegetables Help Me Lose Weight?

Planning of a dietIt is commonly thought that increasing the intake of fruits and vegetables is beneficial while attempting to lose weight. However, a recent study published in the American Journal of Clinical Nutrition showed that increased fruit and vegetable consumption does not reduce body weight. Interestingly, the study results also showed that increased servings do not increase weight either, but can in fact add essential vitamins and fiber to one’s diet.

In essence, energy reduction seems to be the most essential mechanism to weight loss; to reduce weight, you must reduce caloric intake. There are approximately 3,500 calories in a pound of stored body fat. Thus, in order to lose one pound of body weight, you must create a 3,500 calorie deficit. This is best achieved through diet and exercise. Sustained weight loss is difficult or impossible without increased regular exercise. For body fat loss, the American College of Sports Medicine recommends 1200 calories a day for women and 1800 calories a day for men. However, check with your physician prior to starting any weight loss program.

Dr. Anne Hermann, a holistic internal medicine physician, is also a physician nutrition specialist. Offices are maintained in Tampa and Saint Petersburg Beach, Florida. For more information or to schedule an appointment, please contact the office at 813-902-9559.