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Best B12 Shots in Tampa St. Petersburg

Posted by Anne Hermann on Wed, Apr 04, 2012 @ 01:00 PM

Anne Hermann, MD

Learn why we have the best B12 shots in Tampa and St Pete: Methylcobalamin vs Cyanocobalamin

B12 shots are given to people with low levels of B12.  A reputable weight loss clinic may use a B complex shot for weight loss, but should only use B12 if you have bloodwork that shows low B12 levels.  For more on B shots for weight loss: http://www.doctorhermann.com/blog/?Tag=B12

The other name for B12 is cobalamin and the best form of B12 injection is methylcobalamin or mythyl B12.

Most clinics use cyanocobalimin, or cyano B12, which has very small traces of cyanide attached to the B12.  In order for the more common, cyano B12 to be used by the body, our own metabolism must break the ‘cyano’ particle off from the B12.

Methylcobalin is a natural form of vitamin B12 and can be used much more easily by the body.  Be sure to ask your doctor which form they use before you start injections.

If you are looking for B12 for weight loss, make sure the doctor checks your level first.  If your B12 levels are already middle to high, you should have a B shot that gives less B12 and more other B vitamins such as folate, niacin, thiamine and sometimes amino acids that help maintain muscle.

Things that B12 helps with are:

Bell’s Palsy: methyl B12 reducesed the recovery time in Bell’s palsy. Jalaludin MA. Methylcobalamin treatment of Bell’s palsy. Methods Find Exp Clin Pharmacol 1995;17:539-544.

Diabetic Neuropathy  Alternative Med Review. 1998 Dec;3(6):461-3.

Heart Disease:   in one subgroup study, people with high B12 levels given additional B12 had a 34% reduction in stroke, death and heart attack.  Spence JD, Bang H, Chambless LE, Stampfer MJ.  Vitamin Intervention for Stroke Prevention Trial: an efficacy analysis. Stroke. 2005, 36(11): 2404-2409.

Anemia: B12 deficiency causes pernicious anemia and the only treatment is B12 shots

Fatigue:  Because we need B12 to prevent anemia and nerve damage, low B12 causes fatigue

To schedule your consultation with Dr. Hermann, please call 813-902-9559 or 727-278-3992.  Anne Hermann, MD is double board certified in Nutrition as well as Internal Medicine.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Celiac Disease vs Wheat and Gluten Sensitivity in Tampa St Pete, FL

Posted by Anne Hermann on Thu, Mar 29, 2012 @ 10:03 AM

Anne Hermann, MD

I have many patients who think that if they do not have celiac disease, they do not have a wheat or gluten sensitivity.  This is not true: celiac disease and food allergies are two different diseases.  Celiac disease is a severe, genetic disease that can result in vitamin deficiency, osteoporosis and intestinal cancer.  Gluten sensitivity (also termed wheat allergy) is usually less severe.  It can still cause inflammation, gas, bloating and rashes, but will not result in cancers or nutritional deficiencies.

Celiac disease is also called celiac sprue, nontropical sprue and gluten-sensitive enteropathy.  It occurs in 1 in 133 people and is more common in people with family members who have celiac disease, autoimmune thyroid disease, and type I diabetes.  Signs that you may have celiac disease are diarrhea, constipation, gas, iron, vitamin D and B vitamin deficiencies.  The diagnosis is made by bloodwork for specific antibodies and colonoscopy while eating gluten.  If you have been avoiding gluten for more than two weeks prior to testing, these tests may be falsely negative.

Wheat allergy or gluten sensitivity is an allergic reaction that releases antibodies different than the ones in celiac disease.  If the allergy is extreme, you can have shortness of breath or rashes and should be seen by a doctor.  More common wheat allergies, cause gas, nasal congestion, bloating, diarrhea or constipation.   It will not affect your ability to absorb vitamins and will not cause osteoporosis or cancer.

I always check for celiac disease first, because it is the more serious illness and we don’t want to miss it.  If you have problems digesting wheat and we find that you do not have celiac disease, then I test for gluten sensitivity.  If you are interested in this topic, please check out my blog on food sensitivity testing and elimination diets.   I am board certified in Internal Medicine and as a Physician Nutrition Specialist and have offices in Tampa and St Petersburg, FL.  Please call 813-902-9559 to schedule your appointment.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Acupuncture Treatments Tampa St Pete: Acupoint Injection Therapy

Posted by Anne Hermann on Tue, Mar 13, 2012 @ 09:13 AM

By Terry Graham, D.O.M., A.P., L.M.T

Acupuncture has long been recognized as an effective means to prevent and treat a wide range of diseases and health concerns. An adjunct technique developed over the past sixty years sought to combine the principles of traditional acupuncture and Oriental medicine with modern injection therapies.

This technique was first called Biopuncture in Europe, and in the United States is recognized by the term Acupuncture Point Injection Therapy (APIT). APIT is thus defined as:  the injection at an acupuncture point of a small amount of one or more sterile biological substances in order to gain the dual benefits of stimulation of the acupuncture points with the pharmacological effect of the selected substance. Some of sterile substances successfully used for APIT might include: normal saline, nutritional substances – such as vitamin B1, B6, or B12, homeopathic solutions, and Chinese herbal extracts. Acupoint Injection Therapy employs very gentle injection techniques with very fine gauge needles similar to those used for insulin injections. In general the insertion is shallow – within the dermal layers of the skin.

A representative list of diseases that have often responded successfully to treatment with acupuncture combined with point injection therapy include:

  • Chronic pain, and inflammatory conditions, including arthritis, carpal tunnel syndrome, plantar fasciitis, and others
  • Autoimmune disorders such as fibromyalgia and, chronic fatigue syndrome
  • Chronic and latent viral disease – shingles, hepatitis
  • Sports injuries, including “tennis elbow”, “golfer’s elbow”, back pain
  • Cosmetic acupuncture – facial rejuvenation, wrinkle reduction, tissue toning, cellulite reduction

Acupuncture point injection therapy has the potential to broaden the scope of any condition responsive to acupuncture, often providing a more rapid initial response with longer lasting effects as the medication is directed to the target area through the carefully selected acupuncture points.

Terry Graham has a background in nursing and has been a licensed and Board Certified Acupuncture Physician since 2008. To book your appointment in our convenient locations in Tampa, St. Petersburg/Clearwater or St. Pete Beach, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Botox vs Xeomin: Which Treatment is Right for You?

Posted by Anne Hermann on Mon, Mar 12, 2012 @ 01:30 PM

Dr. Anne Hermann

The three cosmetic Botulinum toxins are Botox, Dysport and Xeomin (incobotulinumtoxinA).  My patients often have questions about the difference between Botox, Dysport and the latest competitor, Xeomin, and which product will give them the best result.   I have taken the time to share what I tell them in the article below.

Botox has been FDA approved for muscle spasticity for over 20 years.  It was FDA approved for cosmetic treatment of fine lines and wrinkles in 2002. Botox is made by Allergan, the same company that makes Juvederm.  Prices will vary; we charge $10 to $12 per unit.  Typically 0.01 cc of Botox is one unit of Botox.  So, an average amount of Botox for frown lines is 25 units.  If you receive 25 units, you will be receiving 0.25 cc of Botox.  At $12 per unit, 25 units cost $300.

 

Xeomin is made by the company that makes Radiesse.  It has been in use in Europe since 2008 and received FDA approval for use in the US in November 2011.  Unlike Botox and Dysport, Xeomin has no additives.  This may lessen the chance of developing antibodies to the product.  Also, it works slightly faster than Botox.  Otherwise, Botox and Xeomin are virtually interchangeable.  Both will last 3 to 6 months.  Because Xeomin is new to the market, it is priced better.  At $9 per unit, a treatment that would cost $300 in Botox will cost $225 with Xeomin.

The active ingredient in both of these products is a naturally occurring protein derived from the bacteria Botulinium.  The protein temporarily prevents muscles from contracting for three to six months.  The results of both Botox and Xeomin treatments are gradual.  With both treatments, you will begin to notice results anywhere from three days to one week after treatment, reaching maximum benefit at two weeks.

Most often there is no bruising from the injections, and if there is any bruising, it is typically small.  However, we advise that if you want to look your best for an occasion or event, get the treatment two weeks prior to that event.   This will give any bruising time to heal and botulinim takes 10 to two weeks to reach maximum benefit.

Post treatment instructions are not to lie down on the treated area for 4 hours and no deep massage of the area for two days.  It is okay to wash your face and apply make-up.

Price Difference of Botox vs Xeomin:

  • Brow lift or 11 lines average $225 with Xeomin or $300 with Botox*
  • Upper forehead lines vary greatly based on what people need.  Can be anywhere from $50 to $250*
  • Crows feet average $215 to $288 with Botox and $162 to $216 with Xeomin*
  • Sweaty underarms $450 for Botox and $390 for Xeomin, last over six months*
  • Neck bands or Platysma muscle: $300 per band with Botox and $225 per band with Xeomin

Other areas that Botulinum helps include downturned mouth, gummy smile (show too much gum when you smile), chin wrinkles, bunny lines (lines on upper nose when you smile)

*Please note, men have larger muscles than women and require 50% more than women and cost increases accordingly

To schedule your appointment in either our Tampa or St. Pete Beach office, please call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

How to Treat Food Allergies in the Tampa-St Pete Area

Posted by Anne Hermann on Mon, Mar 12, 2012 @ 01:30 PM

Dr. Anne Hermann

We all know that severe food allergies, caused by IgE antibodies, can be lethal.  But food allergies, caused by IgG antibodies, are more subtle.  We sometimes call the IgG allergy a food sensitivity because it will not kill you.  IgG allergies do cause sinus congestion, headache, achiness, constipation, diarrhea, rash, autism and a variety of vague symptoms.

There are two ways to determine whether you have a food sensitivity.  One is to do an elimination diet.  If, after eliminating specific foods from the diet, you feel better, then we know that something you are eating is causing your symptoms.  Then, we add back one food at a time to determine what food or foods caused the symptom.  The second and easiest way to determine whether you have a food sensitivity is blood testing.  A blood test will tell you if you have an allergy and how severe the allergy is.

In the old days (not too long ago), if someone had a food allergy, their only option was to eliminate that food from their diet.  This is difficult to do because certain foods, like soy, wheat, corn, dairy, and egg are found in small amounts in many food items.  Now, patients have the option of taking sublingual allergy drops by Allergy Easy.  These drops provide treatment for 59 different foods.  Allergy drops have allowed us to help many people who have multiple food allergies and have not been able to fully eliminate the foods they are allergic to from their diet.

We are proud to be offering the full spectrum of food sensitivity testing and treatment in a safe medical environment.  Anne Hermann, MD is double board certified in Internal Medicine and as a Physician Nutrition Specialist.  She has been practicing in Tampa Bay since 2003.

To schedule your appointment in either our Tampa or St. Pete Beach office, please call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Botox vs Dysport: Which Treatment is Right For You

Posted by Anne Hermann on Thu, Mar 08, 2012 @ 12:29 PM

Anne Hermann, MD

The three cosmetic Botulinum toxins are Botox, Dysport and Xeomin.  My patients often have questions about what the difference is between Botox vs Dysport and which product will give them the best result.   So, I have taken the time to share what I tell them in the article below.  Since Xeomin is the newest of these products, I discuss that in another post.

Botox has been FDA approved for muscle spasticity for over 20 years.  It was FDA approved for cosmetic
treatment of fine lines and wrinkles in 2002. Botox is made by Allergan, the same company that makes Juvederm.  Prices will vary; we charge $10 to $12 per unit.  Typically 0.01 cc of Botox is one unit of Botox.  So, an average amount of Botox for frown lines is 25 units.  If you receive 25 units, you will be receiving 0.25 cc of Botox.  At $12 per unit, 25 units cost $300.

Dysport was FDA approved for cosmetic use almost three years ago.  It is made by Medicis, the company that makes Restylane and Perlane.  Dysport costs around $5 per
unit, but the dosing is different.  With Dysport,

0.01 cc contains two units.  However, a typically brow treatment would be 50 units.  So, at $5 per unit for 50 units, you would pay $250.  This makes Dysport about 10 to 20 percent less expensive than Botox.

The active ingredient in both of these products is a naturally occurring protein derived from the bacteria, Botulinium.  The protein temporarily prevents muscles from contracting.  Because Botox is a protein, your body breaks it down within three days of the injection.  Even though the botulinum proteins are metabolized in days, the effect lasts three months after injection with Botox and three and half to four months after Dysport injection.  If you continue to use Botox or Dysport, the effects will last longer, so that after a while, you may only need treatments every six months.

The results of both Botox and Dysport treatments are gradual.  Dysport spreads out more after injection.  This makes it ideal for areas that you want to cover a lot of space, like the forehead and crows feet.  Because Botox does not spread as much, it is ideal for the brow and eleven lines.  This is because if the injection spreads too far over the eye area, the patient can get an eye droop.  With both treatments, you will begin to notice results anywhere from three days to one week after treatment and reaches maximum benefit at two weeks.

Most times there is no bruising from the injections, and if there is any bruising, it is typically small.  However, we advise that if you want to look your best for an occasion or event, get the treatment two weeks prior to that event.   This will give any bruising time to heal and botulinim takes 10 to two weeks to reach maximum benefit.

Post treatment instructions are not to lie down on the treated area for 4 hours and no deep massage on the area for two days; is ok to wash your face and apply make-up.

To give you an idea of price difference of Botox vs Dysport:

  • Brow lift or 11 lines average $250 with disport or $300 with Botox*
  • Upper forehead lines vary greatly based on what people need.  Can be anywhere from $50 to $250*
  • Crows feet average 215 to 288 with Botox and 180 to 240 with Dysport*
  • Sweaty underarms $450 for 50 units, last over six months*
  • Neck bands or Platysma muscle: $300 per band with Botox and $250 per band with Dysport

Other areas that Botox help include downturned mouth, gummy smile (show too much gum when you smile), chin wrinkles, bunny lines (lines on upper nose when you smile)

*Please note, men have larger muscles than women and require 50% more than women with cost increases accordingly

The medical offices of Dr. Anne Hermann are conveniently located in Tampa and St. Petersburg, FL.  To schedule your appointment, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Complementary Treatments: More than Standard Medical Care

Posted by Anne Hermann on Wed, Feb 29, 2012 @ 10:31 AM

Anne Hermann, MD

Comprehensive patient care is the concept of treating the entire person and not just the disease.  At the offices of Dr. Anne Hermann, we provide medical care, x-rays, bloodwork, medication and complementary therapies.  Complementary therapies provided effective, non-pharmacologic treatments that reduce many of the symptoms of disease.  We provide acupuncture, massage, nutrition, physical therapy, hormone balancing and reflexology.  Massage and reflexology decrease the symptoms with effects lasting at least two days following treatment.  Acupuncture is very beneficial for symptom management without adverse consequences.  It is proven to reduce pain caused by a variety of factors, nausea, hot flashes and stress.  Regular exercise and healthy dietary habits can significantly decrease side effects of medication.  Anti-inflammatory diets reduce allergies and pain.

Our on-site medical doctors track the progress of those who choose to use complementary
services.  All of the therapies can be used in conjunction with standard medical treatments.  As a Board Certified Internist, Dr. Hermann, MD, can communicate with other
doctors to ensure that a treatment is appropriate and to provide comprehensive patient care.  Our goal is to ensure that you get the healthcare you need while minimizing the use of medication and invasive procedures.

The medical offices of Dr. Anne Hermann, MD, are conveniently located in St. Petersburg and Tampa, FL.  To schedule your appointment, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Why Thousands of Women are Choosing Acupuncture Facelift Over Surgery

Posted by Anne Hermann on Wed, Feb 29, 2012 @ 06:43 PM
Laura Bertoncini, DOM

Do you want to slow down the signs of aging? Acupuncture facelift is a non-surgical, relative pain-free anti-aging procedure that effectively reduces the signs of aging. Recently Dr. Oz featured the acupuncture facelift. The acupuncture facelift will make you look and feel younger. The rich and famous are using acupuncture facelift as an anti-aging protocol. It is the perfect solution for anyone concerned about surgery, scaring, incisions that causes swelling and down time for healing.

Research shows: The 1996 International Journal of Clinical Acupuncture revealed the results of an eight-year study on the facial acupuncture. They conducted 300 case studies having just one course of treatment, 90% saw a marked improvement in elasticity, a reduction of fine lines and a smoother complexion.

Acupuncture facelift has been around for thousands of years. However, only recently has this method reached the general public. Thousands of years ago the royal families in China used acupuncture. They received regular facial massages in certain acupuncture points. The results were increased dramatically when acupuncture needles were used instead of massage.

How does the Acupuncture facelift work? First, you complete an intake on medical information.  Our questions are more detailed than your traditional western doctor.  We ask ten questions regarding lifestyle, digestion, sleep, bowel movements and more. Next, we perform a physical and mental balancing treatment on the back known in TCM as the
back shu treatment which puts the body in homeostasis or balance.  This balance will help the body accept the front treatment.  Afterward, we turn you to the spine position and insert
approximately 25 fine, hair thin needles to specific points on the face. The needles gently stimulate andactivate the energy flow along the pathways to generate and circulate blood and restore collagen. This has the effect of nourishing, hydrating, toning and diminishing the appearance of wrinkles.  The doctor adds an electrical stimulation machine to energize certain acupuncture points. Finally, the doctor uses another modality to the face called cupping. Cupping uses small plastic cups that help promote blood and circulation to the face. We usually perform additional points to help enhance treatment and wellness. The result is a firmer, healthier and more
radiant complexion.

Laura Bertoncini, DOM, practices in the holistic medical office of Anne Hermann, MD in Tampa, FL.  To schedule an appointment, please call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

How to Achieve Natural Beauty

Posted by Anne Hermann on Fri, Feb 24, 2012 @ 03:38 PM

Anne Hermann, MD

Vitamins for Skin, Hair and Nail Health:  Vitamins C, E, Niacin, Zinc, Selenium, CoEnzyme Q10 and Biotin are powerful anti-oxidants that prevent collagen breakdown.  Vitamin K reduces bruising under the eyes.  Retinols, derived from Vitamin A, exfoliate the skin and prevent skin cancer in addition to fighting fine lines and discoloration.  Alpha lipoic acid and Omega 3 are natural skin plumping agents. Studies show that these vitamins are the most effective when they are all used together, rather than one at a time.  Omega 3, Selenium and Biotin are best taken in oral preparations, while Vitamins C, E, Niacin, zinc, Alpha-lipoic acid, Coenzyme Q10 are very effective when used topically.

You are what you Eat:  Detoxification:  Detoxification diets can clear up acne and rosacea, jump start weight loss, reduce inflammation and energize the body.  We accumulate toxins in our body through air, food, smoke, pesticides, and medications.  Just like your car needs an oil change once in a while, you need to clean out your system.  The best way to do this is a detox diet, which is an organic diet devoid of toxic substances.  Typically, you should follow the diet for one to four weeks depending on your goals.  After a detox program, most people have less inflammation which means they feel less aches and pains.  Often people lose 10 to 20 pounds and radiate with vitality.

Natural Skin Tightening:  Radiofrequency is technology similar to laser treatments that is FDA approved for removing fine lines, wrinkles, cellulite and skin laxity.  The beauty ofradiofrequency is that it is comfortable, noninvasive and leaves no scars or down-time.  The procedure uses heat to break up collagen.   As the collagen remodels, skin becomes firmer and tighter.  Radiofrequency technology can be used anywhere on the body or the face to turn back the clock naturally.

Hormone Balance:  Hormone fluctuations are a big part of aging.  Thyroid, cortisol, and reproductive hormone imbalances will affect energy level, weight, hair growth, sex drive, skin health, and even mood. A holistic medical doctor can correct imbalances through nutrition, supplements and bio-identical hormone replacement when indicated.

Acupuncture Facelift:  Our St. Petersburg Acupuncturists trained in this technique, insert tiny needles to increase circulation and open blockages of the channels of the face. The treatments decrease wrinkles and sagging naturally without negative side effects. There are many other benefits of acupuncture, including improvement in sleep and energy.

The integrative medical offices of Dr. Anne Hermann, MD, are conveniently located in St. Petersburg and Tampa, FL.  To schedule your appointment, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Best Supplements for Weight Loss and Detox

Posted by Anne Hermann on Fri, Feb 24, 2012 @ 04:01 PM

Anne Hermann, MD

Why All Supplements Are Not Created Equal

The variety of weight loss shakes and bars available is overwhelming.  As an Internal Medicine Physician and Board Certified Physician Nutrition Specialist, even my physician friends often ask me which supplements are best for themselves and their patients.

I recommend two brands of meal replacements for weight loss.  The first, XYMOGEN®’s i5, is my favorite because it is a powerful anti-inflammatory food that my patients use along with a detox diet.  This all natural, fructose-free shake has ingredients that promote gastrointestinal health, optimize the body’s ability to detoxify harmful substances and respond to inflammation.

XYMOGEN’s i5 patented ingredients, provide 21 grams of pea and rice proteins that are free of gluten and lactose, are generally considered hypoallergenic foods, and have a low level of flatulent sugars, negating the concern of intestinal gas. The blend also contains non-GMO chicory, a source of soluble fiber.

Sometimes, my patients will read the label of other products and compare it to the ones we have in our office.  While some of the ingredients may look the same as the Xymogen i5, the quality of Xymogen is the best that I have found.  For example, the pea protein isolate in i5 is naturally obtained by simple water extraction, keeping all the nutritional qualities intact. It has a protein content of 90%, excellent digestibility (98%), and a well-balanced amino-acid profile, including a particularly high content of lysine, arginine, and branched-chain amino acids. The combination of rice protein and pea protein achieves an Amino Acid Score of 100%.  Other products that contain rice and pea proteins cannot claim to have the same nutritional content unless they are extracting the protein with water.

In addition to the perfect amino acid score, Xymogen i5 stimulates the immune system with IgG andsulforaphane glucosinolate.  It’s Arabinogalactan is a non-digestible, soluble dietary fiber derived from the Larch tree.  For weight loss, we recommend using i5 two times per day and an alkaline, wheat free, milk free diet for one to two meals a day.  People lose as much as 10 pounds the first week.  Because they are eating an allergen free diet, people also feel more energy, less gas, bloating and achiness!

As mentioned above, I do offer two brands of shakes.  The second, Optifast, is not anti-inflammatory, but is the only weight loss shake that is safe to use for a full liquid diet.  When we replace all our food with shakes, the nutritional value of the shakes needs to replace 100% of the protein, essential fats, and vitamins required to maintain health.  We use Optifast because it has been proven to be safe for full meal replacements for thirty years.  There is no other full liquid diet that comes close to this.

So, whether you are looking to detox and lose some weight, or aggressively loose over 50 pounds, choosing the right type of meal replacement will be a big part of your success.

The integrative medical offices of Dr. Anne Hermann, MD, are conveniently located in St. Petersburg and Tampa, FL.  To schedule your appointment, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.