Weight Loss & Management Offer

Take Advantage of our Limited Time Weight Management Offer 

green-appleNeed help losing weight? You’re not alone. Our unique integrated approach is safe, healthy, medically sound—and effective! Our Weight Management Program can result in a weight loss of as much as 15 to 16 pounds per week (actual patients) and on the average yields about a three to five pound weight loss without much effort. We are offering an introductory special for patients who are interested in our Weight Management Program: Free Initial Visit (includes Physical, EKG, Bone Density Test, Lung Test) Dr. Casañas and our highly trained staff will give you the tools, techniques, and support you need to achieve your weight loss goals.

Call (813) 855-6530 today to schedule an appointment for yourself or a loved one.


The patient and any other person responsible for payment has the right to refuse to pay, cancel payment or be reimbursed for any payment or any other service, examination or treatment which is performed as a result of and within 72 hours of responding to the free, discounted or reduced fee, service, examination or treatment.

Lunasol Institute: Integrated Approach to Wellness

girlThe human body is a symphony of integrated systems that give us the ongoing privilege of everyday life. When they function well, we tend to go about our business without giving the miracle of the body much thought. But if something is out of whack, we may reach a point where even routine activities are suddenly a challenge.

As an Integrative Internist, Dr. Casañas is uniquely qualified and experienced in treating the body as a whole. Drawing on a wide range of disciplines, from Western based traditional medical training to Eastern approaches, Dr. Casañas evaluates each patient to determine the best course of treatment. This also often enables him to diagnose and successfully treat many conditions that may have been previously difficult to uncover. Below is a partial list of Treatment Modalities and Diagnostic Tools utilized by Dr. Casañas at the Lunasol Institute at Westchase. Please feel free to talk to any of our friendly and helpful staff for a wealth of information.

Treatment Modalities
Aesthetic Medicine & Rejuvenation
Medical Acupuncture
pain treatment
Weight Loss Management
Hormone Supplementation
Allergy Elimination
Chelation Therapy
Intravenous or Intramuscular Vitamins, Minerals and Nutraceutical Therapy
Intravenous Hydrogen Peroxide

24-hour Heart Rate MonitorDiagnostic Services
Age Markers: Free Radicals and Inflammation
Amino Acid Levels
Antioxidant and Vitamin Levels
Bone Density Studies
Eardrum Pressure for Chronic Ear Problems and Allergies
Eyeball Pressure (Glaucoma)
Fatty Acid Analysis (Omega –3, 6, and 9)
Food Allergy Assessment
Hearing Acuity
Heavy Metal Urine Testing
Hormone Assays: Saliva, Blood and Urine
Metabolic Assessments
Nerve Condition Testing
Pulmonary Function Testing

Hormone Supplementation

There is an ongoing debate about the risk factors involved in hormone supplementation. However, there is a place for proper hormone evaluation and assessment. As an internist, Dr. Casañas is well versed in endocrinology and the assessment and use of hormones, as well as recognition of side effects.

Many of the side effects recently documented and debated involve the pharmaceutical progesterone. This supplement can be the cornerstone of a weight loss program in some patients. At this point, our best approach is to continue to monitor patients’ subjective symptoms, as well as risk factors and ongoing assessment by blood or saliva testing. Dr. Casañas uses the natural versions which are safer and more effective (Bioequivalent).

Many hormone problems can be assessed and treated without controversy and implemented for situations such as metabolic regulation, prevention of chronic disease, and age management. Below are some areas of hormone evaluation and treatment offered by Lunasol Institute at Westchase. For more details on these and other hormone treatments, please visit www.lunasolinstitute.com.

Adrenal-Pituitary Axis. Patients entering any health maintenance, age management, or weight management program are assessed for cortisol and DHEA levels, since these are important in controlling metabolism. Cortisol excess is associated with insomnia, early dementia, toxicity to frontal lobe cortical cells, and suppression of the immune system. In general DHEA can be used to counter cortisol excess.

Thyroid. Thyroid testing is crucial for all weight loss patients and for general health and age management purposes. We implement a sophisticated approach to thyroid assessment which includes various forms found in the blood that are not checked by most medical practices.

Estrogen. Age-appropriate screenings are performed for these hormones. However, most weight loss patients over 30 years of age benefit from at least progesterone screening.

Progesterone. Progesterone is important to assess in most cases. Dr. Casañas has found that progesterone deficiency is profoundly linked to insomnia, restlessness, and muscle contracture which are found in most perimenopausal women and some premenopausal women.

Testosterone. Patients over 30 years of age will be screened for testosterone and it is always checked in any weight loss program. Testosterone will induce the recovery of muscle function, improve fatigue, and lead to a general sense of well-being in most men.



Focus on Weight Management

Metabolic Enhancers

As an internist, Dr. Casañas is well versed in the importance of control of glycemia and its disregulation being associated with the metabolic syndrome and insulin resistance which leads to early coronary disease, hypertension, high triglycerides, and more. Dr. Casañas implements the use of subcutaneously injected Byetta, as well as the use of oral agents such as Metformin in those in whom insulin and other metabolic assessments indicate its use.

Auricular Acupuncture

A magnet pellet is placed in specific points in the ear that have to do with metabolism and endorphin release, and lead to appetite suppression and metabolic enhancement. In addition, these points will lead to a general sense of well-being. In fact, one of the points used is called Shen Men in Chinese which means gate of spirit.

Weight Management: Help is on the Way

If you feel like you’ve tried everything and still see the same old number come up every time you step on the scale, perhaps it’s time to get professional help. With our customizable four-pronged approach, we can help you shed pounds with a program that is safe, healthy and medically sound.

Based on weekly visits, Dr. Casañas’ weight management program utilizes various elements that can result in a weight loss of as much as 15 to 16 pounds per week (actual patients) and on the average yields about a three to five pound weight loss without much effort. Dr. Casañas bases his long term weight management success on the implementation of the glycemic index scores and teaches his patients to eat differently for the rest of their lives. It is a permanent solution because patients get a thorough evaluation of their hormonal and metabolic status, i.e., thyroid, insulin, testosterone, growth hormone, progesterone, food allergies, amino acids (related to cravings), etc.

During their weekly visits, patients receive their lipotropic injection, pharmaceutical and nutraceutical supplies for the week, laser activation, and ear acupuncture points. The points are removed after a week on their return visit. There is ongoing constant and close physician supervision to optimize the results and minimize side effects. If, according to the individual patient’s assessment there is a need for other intervention besides the basic four step approach, then the patient is consulted and given a tally of all nutraceuticals and protocols to follow on their own.

Patients are thoroughly educated in how to shop for nutraceuticals and what to look for in labels, including the concepts of “standardized extract,” proprietary blends, active ingredients, etc. Dr. Casañas has been rendering weight management services for 15 years with an overall success rate of about 90% to 95%.

In addition, patients are responsible for maintaining a food diary when the results are suboptimal, as well as a check on their urine ketones in order to attain a level of trace ketonuria (which means that the patient is now burning up fats). Furthermore, the patient is instructed on the number of calories that are permitted each day and the proper use of snacks.

Dr. Casañas closely monitors each patient for progress and safety, using EKG, interval assessment, and other tests. Dr. Casañas will also determine the suitability of candidates for the program. Some patients choose not to do—or are not permitted to pursue— certain components of the program, and still manage to do well. Dr. Casañas also implements elimination diets to discover subtle but impactful food allergies.

Dr. Casañas aggressively pursues other deficiencies and surpluses that may be found in the realm of sexual hormones such as estrogen, testosterone, progesterone, and growth hormone. The most extreme cases of weight loss can occur in those patients who have either low testosterone or low growth hormone. In addition, it is well known that after a hysterectomy, the deficient production of both estrogen and progesterone can lead to significant weight gain in surgically or naturally postmenopausal women. Once the patient is assessed and repleted at an empirical dose, then they are continuously reassessed for optimal therapeutic levels and minimizing of side effects.

Patients are also recommended to undergo amino acid analysis to determine any amino acid imbalances that may contribute to particular cravings. Through a combination of Western based traditional medical training, academic training in psychology, and Eastern approaches to energetic typing, Dr. Casañas will also analyze each patient to determine his or her Metabolic Energetic Temperament.

This is an important assessment and has wide ramifications in the overall treatment of the patient not only for weight management, but also for health maintenance and age management as well. Weight loss management services can usually be reimbursed by insurance programs, depending on the patient’s overall medical condition, as well as the type or plan of insurance. For more information about our Weight Management program, please visit us on the web at www.lunasolinstitute.com or call (813) 855-6530 and talk to any of our caring and knowledgeable staff.

Patient Heal Thyself!

By Robert J. Casañas, M.D.
Published in La Gaceta

dr-photoAlthough it has become extremely more difficult to take pride in anything that any legislative body does in the United States, particularly for the last seven years or so, I was overwhelmingly and seriously relieved by the fact that the multi-million dollar “field of dreams” proposal for Hillsborough County was trounced last week. I think my faith in the local political process would begin to be restored if all of that abundant property tax monies were to be funneled to some worthwhile cause, such as providing healthcare for under-served segments of our community. If, as expected, it will not, it might behoove us to notify our needy brethren to follow President Bush’s cynical quip to understate the fact that there is no healthcare crisis in this country and that there is readily available medical care by simply “going to the E.R.”

Since I have never been an enthusiastic “bread and circus” sports spectator, I guess I manage to find enough time on the other hand to become aware of the posturing of Presidential candidates concerning the issue of healthcare. It just might take a Michael Moorish type of candidate to point out the malodorous elephant in the room, i.e., the Medical Insurance Cartel.

According to a recent study, more than half of the physicians in the United States believe their ability to provide quality healthcare has deteriorated over the last six years. What a coincidence that this is the amount of time that we have had the helmsmanship of the present administration involved in our lives in more ways than we care to count or somehow were left out of that arcane covenant called the Constitution.

As what we have been allowed to practice by governmental intrusion and the insurance cartel becomes more and more disease management, it is now more relevant than ever to become actively involved and empowered in your own medical care and become aware of just how toxic not only the environment, but the political scenario impinges and truncates our life, liberty, and the pursuit of medical happiness.

The ethical bankruptcy of federal and state governments facilitated by the largess of corporate oligarchs and perpetual term self-serving politicians can lead an intelligent individual nowhere but to develop his or her own personal health compass. It is not just the purveyors of information or the mass media that have politically co-opted our right to know and sit as a proverbial lap dog at the right hand of the emperor without clothes, but rather the actual sacrosanct process of science and the dissemination of information by scientists have also been quagmired.

Of interest to note: Former U.S. Surgeon General Dr. Carmona testified in Congress last July and ominously stated “Anything that does not fit into the President’s ideological, theological, or political agenda is often ignored, marginalized, or simply buried”.

The insidious turnstile that exists between government regulatory agencies and the industries that they purport to regulate should be construed by any critical thinker as nothing but a pox on our collective health. As a case in point, President Bush has effectively eviscerated OSHA regulators of corporate pollution (that poisons all of us) by gutting fines and inspections and imposing so-called “voluntary compliance”. The consistent and callous arrogant disregard of the health and safety of the ordinary citizen, (i.e., those of us without corporate power or assets to purchase politicians) recently played out in exemplary fashion in OSHA’s management of the connection between Diacetyl (a flavoring used in buttered popcorn) and so-called “popcorn lung” which was deemed to be inconclusive. Popcorn lung is a condition where the small airways literally melt and are unable to function properly causing respiratory distress in workers in that industry.

Of course, the stance taken by all of the President’s men on global warming has been all along a blemish of the declining prestige of the American scientific process. The President himself went so far as to conscript Michael Crichton, a science fiction writer, to buttress his total denial of the facts that are considered well-established by most world scientists. Not to detract from science fiction writers, one could find limited solace in the fact that a grade B science fiction writer actually managed to establish a religious institution in this country fifty years ago.

To expound on this fact: What is the end result on our individual health if regulatory agencies appoint former corporate heads of the industries they oversee? We are increasingly subjected to a toxic wasteland that will propel us along the path of rapid aging and dysfunctionality which coupled with economic insecurity makes us all docile and conciliatory. How were the “troops supported” after Vietnam when Agent Orange was disavowed for decades and Gulf War Syndrome is now downplayed for political economic purposes? For all of us, if dangerous levels of toxic substances are found in our bodies, then political appointees that serve on scientific advisory committees simply rachet-up what is defined as “toxic levels”. Other self-appointed health gurus will dictate what procedures and investigative techniques may be utilized by your physician, but it does not matter anyway because most average doctors will not bother to look for heavy metal toxicity in dysfunctional patients, for example.

What about the rampant use of bisphenol, (the chemical found in all plastic containers) and the persistent organic pesticides (POP) found in farm fish and both of their relationships to the development of diabetes? The presence of both of these chemicals or either one alone is a more significant causative factor for this disease than obesity itself. What about the relentless increase of the incidence and prevalence of obesity in this country? In The Omnivore’s Dilemma, the author recalls the efforts of Senator McGovern several decades ago in attempting to bring to public scrutiny the role of saturated fats and trans fats in the development of atherosclerosis; instead, he was besieged, quieted, and dislodged from office by the dairy and meat industry. The admonitions to forsake meat and dairy products for healthier choices was watered down and consequently the befuddled U.S. consumer nevertheless reached for high carbohydrate meals and the outcome is now history, i.e., an obesity epidemic engendered by corporate tyranny.

If you have ever been daunted by large trucks driving close to you in the middle of the night, consider this. OSHA has recently deregulated limits in the transportation industry by allowing
truck drivers to drive over 80 hours per week. Consider also this: The transportation agribusiness industries (which are the two biggest industries regulated by OSHA) contributed a record $800,000 to the Republican party in the year 2000 alone.

Speaking of political appointees, the head of OSHA happens to be Mr. Edwin G. Foulke, Jr., a Republican political appointee whose job qualifications consisted of belonging to a South Carolina law firm that devoted itself to union busting consultation for corporations. Incidentally, he was also a major fund raiser for the state of South Carolina for the Republican party in the year 2000.

It is just not a matter of wondering whether the fox is in the hen house, but rather how many hen houses are left that do not have foxes in them. Perhaps the sulfur smell in those hen houses may not be coming just from rotten eggs.

With the blessings of that other regulatory agency, the FDA, agribusiness has now unleashed other poxes on the body public such as radiated food, genomically altered food, and most recently has allowed the marketing of meat from cloned animals. In addition, the FDA recently proposed to not require that such transmogrified food items be so labeled so as not to “foster widespread boycotting by the consumer”. It merits paraphrasing: Since for an informed choice you need information, the information will be censored because that individual’s choice may just wind up decreasing this particular industry’s profits.

Here is more interesting information. No one doubts that the $100 billion dollar per year pharmaceutical industry has considerable clout in the political arena. Last year alone, it contributed over $50 million dollars to political candidates. Although it can be construed as chump change for the pharmaceutical industry to have to pay $310,000 for each new drug to be put on its express processing lane in the quarters of the FDA, it is more astounding to know that 50% of the FDA’s budget comes from the pharmaceutical concerns based on this speedy approval innovation. The FDA had been considered the bulwark of pharmaceutical safety all over the world, but since the pressing need for the approval of HIV drugs effected a more liberal approval process, the pharmaceutical industry did not lose its chance to push the envelope. In 1988, the FDA approved only 4% of new drugs approved for the first time in the world. In 2007, the FDA approved 75% of the entire world’s debutante drugs.

Our hopelessly dysfunctional institutions may very well send an innocent man to the gallows or school brawlers or pot smokers to jail for a lifetime and perhaps let here and there a rapist murderer walk too much, too soon, too quickly, and too abjectly, but the dysfunction lies in that it does not serve the public well.

On a somewhat related note: What is the common denominator of the following drugs: Seldane, Zomax, Troglitazone, Viracept, Propulsid, Vioxx, Cerivastatin, etc., etc? These are all FDA approved drugs that have been taken off of the market, most of them in the last seven or eight years.

What is more lamentable than the number of drugs on this list is that the information and data

clearly indicating a tremendous risk for the consumer had been suppressed by the pharmaceutical company itself. Again, chump change fines are issued and thereafter it is business as usual. At some point, the federal government grants the pharmaceutical company some kind of immunity and the liability is conveniently avoided. One is reminded of how difficult it has now become since laws were passed under this administration to bring forth class action lawsuits against corporations by citizens harmed by corporate mayhem and dishonest science. While ordinary citizens can now face traffic fines of over $2000 in some states (Virginia) and Corporate Welfare has induced budget cuts for all social services, you are now beset at every point by user fees (tolls, permits, licenses) and fines that are totally out of proportion to their intended purposes. A shift of budget cuts necessitated by tax cuts for the wealthy and corporations is passed on to the unempowered shallow pockets.

How is it that 40% of CEOs found guilty of deceit, tax evasion, and defraudation of pension plans still manage to be bestowed hundreds of millions of dollars as severance pay after they are convicted? Likewise, when bridges and overpasses collapse or entire cities are wiped out by hurricanes, there seems to be little consequence for the politically appointed bunglers. It’s still “a heck of a job Brownie” and Brownie gets re-elected or re-appointed again.

If all of this smoke and mirrors makes you short of breath and myopic, then it is time to come out of the chicken house. It is high time to come out of Plato’s Cave, time to turn off the TV, read books, get on-line, and devote some of that fervent sports enthusiasm energy to take back your own healthcare and non-manufactured life.

(To be continued)