P: 281-298-6742 | F: 281-419-1373|info@TWIHW.com

“Continuing to Stay Strong”

Continuing to Stay Strong

Good Morning Dr. McManus,

I thought I would start your morning off with some good news.

T’s health is continuing to stay strong. She made it through the second little bug since the summer – again with no antibiotics or steroids needed to clear the congestion…and no secondary infections. 🙂

Additionally, she is now ranked #3 in the state in women’s pole vault and acing all her senior classes.

R has not deviated a bit from the health reset protocol and has minimum flare ups from his gout. He is down 20 lbs and not slowing down.

Thanks again to your entire team for your program, expertise and support. You and your team are very appreciated and I hope you have a wonderful week!


By |2018-05-08T14:06:12-05:00March 12th, 2018|General, Testimonials|

InfraRed Sauna

By Mila McManus MD and Nancy Mehlert MS

The Woodlands Institute for Health and Wellness is pleased to announce that we now offer Infrared Sauna sessions at our office.

Why?  Two good reasons!  Our patients asked for it and it is a great way to promote health and wellness in the human body.


  • Improved brain function and reduced risk of Alzheimers[i]
  • Lowers risk of cardiovascular events[ii] by increasing heart rate in the same way exercise does
  • Reduction of pain and inflammation while increasing circulation and energy
  • Improves wound healing through increased circulation and oxygenation.
  • Detoxification including helping to excrete toxic metals like arsenic, lead and mercury[iii]
  • Stress reduction and relaxation through parasympathetic healing effects, helping the body to handle stress more effectively[iv]
  • Through detoxification and increasing metabolism and caloric consumption through sweating (like exercise), it can support a healthy weight loss regime
  • Through detoxification, it can improve skin tone, elasticity and help to alleviate acne, eczema, psoriasis and other skin conditions
  • May also be beneficial to people with asthma and chronic bronchitis[v]

What is Far Infrared Heat?

Infrared (IR) radiation is electromagnetic radiation of a wavelength longer than that of visible light, but shorter than that of radio waves. These are very long wavelengths which contain very few particles and are life supporting and required by the human body for optimal functioning.  This is in contrast to the more harmful short waves with high frequencies found in X-rays, gamma waves and microwaves.

How does it work?

Infrared sauna heats the body from the inside out, altering cells, cell membranes, DNA/proteins and cell fluids, including and especially water molecules.  At the cellular level, mitochondrial activity takes place which favorably impacts metabolism, improving overall biological activity. These changes can restore balance.   Many studies have found that regular and repeated infrared sauna therapy can contribute to overall well-being, reduce pain and inflammation, and support heart health and brain function.

How long does it take?

Infrared sauna treatments usually work well within 15-30 minutes of treatment. It is best to begin with 15 minutes and work up to a 20-30 minute treatment as the body becomes accustomed to the heat.  Regular and repeated treatments have yielded the best health results in studies.

Who can benefit?

The good news is that infrared saunas are safe and gentle for most people to use and studies have shown benefits especially for those with cardiovascular disease, diabetes, high blood pressure, congestive heart failure, rheumatoid arthritis, chronic fatigue, poor digestion, depression and anger as well as chronic muscle and joint pain. [vi] In our stressful and toxic world today, everyone can benefit from increasing relaxation and detoxification.

Safety Considerations

  • While sauna use seems to be safe for most people you may want to talk to your health care practitioner about starting infrared sauna treatments if you have sensitive skin, a history of heart problems or take medications since certain medications can alter your perspiration and heart rate
  • Males may need to be concerned about long term heat exposure to their scrotum due the potential for decreased fertility that may result[vii]
  • Always listen to your body and slowly increase the length of your sessions over time to somewhere between 15-30 minutes per session to increase heat-stress tolerance.
  • Be sure to hydrate well prior to, during, and after the session to avoid dehydration.

Schedule Today!

  • $25 per session
  • Buy 4 sessions and get 1 free.
  • The technology works best with mostly exposed skin.  Room is private.
  • You can listen to the radio that’s in the sauna, or bring a CD of your own.
  • Bring a book to read.  Avoid bringing phones and other electronic devices into the sauna.  It’s a time to relax and unplug.



[i] Age and Ageing December 7, 2016

[ii] JAMA Internal Medicine February 23, 2015

[iii] Journal of Environmental and Public Health Volume 2012 (2012), Article ID 184745, 10 pages

[iv] https://draxe.com/infrared-sauna/

[v] AM J Med. 2001 Feb 1;110(2);118-26

[vi] https://draxe.com/infrared-sauna/

[vii] Retiner, “Sauna Visits May Lower Sperm Count,” LiveScience, March 25, 2013








By |2017-01-31T07:50:51-05:00January 22nd, 2017|General|

Reasons You Can’t Lose Weight

If I had a nickel for every time I heard someone say, “I can’t lose weight despite diet and extreme exercise,” I would be a gazillionnaire. Issues with weight gain can be quite complex and everyone has a different opinion about what a healthy diet looks like.  There are many reasons why you potentially can’t lose weight despite exercise.  You may understand the concept of portion control and benefits of exercise, but did you know this:

  • Inflammation affects metabolism. Inflammation stems from various factors, but one in particular is a food sensitivity. You may not realize that, for instance, the eggs or wheat in your diet is sabotaging you because of an underlying food sensitivity. Another source of inflammation is alcohol. (Of course, the calories from alcohol don’t help either).
  • Nutritional deficiencies affect metabolism. Are you deficient in iodine, selenium, omega 3s or iron perhaps?
  • Muscle mass helps to dictate metabolism. Are you working on increasing muscle mass and not simply trying to jog off your behind and belly fat?
  • Results will be much quicker by working on your diet, rather than trying to overcompensate with exercise.
  • Your thyroid function may be low despite normal lab results. Test yourself for low thyroid symptoms.
  • Hormonal imbalances indirectly affect thyroid function, which in turn affects metabolism. Have you heard of estrogen dominance?
  • Medications can affect your metabolism such as birth control pills, antidepressants and beta blockers.
  • Toxins may be sabotaging your efforts. We are all constantly exposed, but some more than others. Plus, some of us don’t eliminate toxins as quickly. A good detox may be helpful! Read our article on how to detox your body and search our site for detox recipes that will help you get rid of harmful toxins.

Call 281-298-6742 today to learn how we can help you start losing weight today! We also invite you to try our healthy diet recipes that are sure to spice up your taste buds AND help you feel better. The Woodlands Institute also offers an amazing nutrition program under the leadership of amazing nutrition consultants.




By |2018-05-21T13:52:06-05:00June 3rd, 2014|Articles, Ask Dr McManus, General|

Sex, Testosterone and Pellet Therapy

By Heather N. Smith, WHNP-BC

Sex has many health benefits that are equally important to both men and women.  Some of the benefits of regular sex include:

  • reduces stress
  • improves low sex drive
  • lowers blood pressure
  • improves bladder control
  • decreases pain
  • improves sleep
  • increases intimacy and self-esteem
  • reduces risk of dementia
  • reduces risk of prostate cancer
  • reduces risk of heart attacks
  • burns calories.  

Sex is connected to our emotions and thoughts, but is also directly related to our hormones and blood levels.  If you do not have healthy testosterone levels, you may be missing out on the fullest desires for, and enjoyment of, having sex. What’s also interesting is that cholesterol is needed to make testosterone. Today, many physicians are prescribing statin drugs (e.g. Lipitor) that are lowering cholesterol levels and affecting an individual’s ability to make testosterone.

Testosterone is very important for both men and women.  As we age, our natural levels decline. There are significant benefits of testosterone replacement and optimization.  

Benefits include:

  • improvement of energy
  • improved overall vitality
  • sharpened brain function and memory
  • reduction in depression and anxiety
  • increase in motivation and drive
  • increased libido
  • improved symptoms of erectile dysfunction
  • increased fat loss
  • increase in muscle mass
  • decreased blood pressure
  • improved bone health
  • reduced risk for Alzheimers
  • reduced risk for prostate cancer

So how is testosterone optimization achieved?

While some physicians order labs to evaluate testosterone levels, the reference ranges for “normal” levels are very large and result in many patients being advised that their levels are “normal”.  However, this does not mean they are optimal for the patient who is still symptomatic of low testosterone levels.  In other words, your lab results may reflect a “normal” testosterone level, but  your symptoms may not resolve until a higher level of testosterone in the “normal” range is achieved.  This is optimization.

There a few methods of testosterone replacement therapy that have been in use for a number of years including patches, creams, troches, and injections. Oral routes of administration are typically not effective for men, but are often sufficient for women. It is very important when choosing a delivery method that your physician select the best option for your individual needs. An alternative testosterone therapy that has been increasing in popularity over the last few years is called pellet therapy. Pellet therapy has actually been around since the 1930’s but was not FDA approved until 2008. Pellets can provide a more consistent dose of testosterone over a longer period of time.  It can eliminate having to remember to use a messy, daily, transferable cream, or to apply a new patch frequently, or to inject yourself once or twice a week, which can be a painful hassle.  Testosterone pellets are bio-identical, not synthetic, meaning they are identical to your body’s hormone structure. They are cost effective and doses are individually customized based on your needs. Pellets are very convenient because the effects typically last for 3-4 months. They are very small in size and are made at a sterile compounding pharmacy.  The pellets are inserted into the fatty tissue of the hip using a local anesthetic, and the procedure is done in the office.  The procedure takes approximately 15 minutes, is relatively painless, and no stitches are required.  Labs are checked prior to dosing and insertion, as well as periodically thereafter to assure desired levels are achieved. 

We are very excited to announce that testosterone pellet therapy will soon be added to the testosterone replacement options here at The Woodlands Institute for Health and Wellness for both men and women.  I’ve personally been performing pellet insertions since 2011 and am a strong believer in the benefits of pellet therapy.  If you are interested in learning more, please contact one of our wellness consultants today, or discuss with one of our healthcare providers at your next appointment.



TherClin Risk Manag. 2009 Jun;5(3):427-48. Epub 2009 Jun 22. The benefits and risks of testosterone replacement therapy: a review. Bassil N, Alkaade D, Morley JE.

Testopel Pellets. (2013, June). NIH Daily Med.  Retrieved September 2, 2013, from http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=a1741a0b-3d4c-42dc-880d-a06e96cce9ef

Ahlskog JE, Geda YE, Graff-Radford NR, Petersen RC. Physical exercise as a preventive or disease-modifying treatment of dementia and brain aging. Mayo Clinic Proceedings 2011 September;86(9):876-884

Diamond LM. What does sexual orientation orient? A bio-behavioral model distinguishing romantic love and sexual desire. Psychological Review 2003; 110(1): 173-192.

Onder G, Penninx BWJH, Guralnik JM, Jones H, Fried LP, Pahor M, Williamson JD. Sexual satisfaction and risk of disability in older women. Journal of Clinical Psychiatry 2003; 64: 1177-1182.

Grewen KM, Light KC. Plasma oxytocin is related to lower cardiovascular and sympathetic reactivity to stress. Biological Psychology 2011 July; 87(3): 340-349.

Hamilton LD, Rellini AH, Meston CM. Cortisol, sexual arousal and affect in response to sexual stimuli. Journal of Sexual Medicine 2008; 5: 2111-2118.

Huppert FA. Mental capital and wellbeing: making the most of ourselves in the 21st century. Government Office for Science, The Foresight Mental Capital and Wellbeing Project 2008 September.

Lee HJ, Macbeth AH, Pagani JH, Young WS. Oxytocin: the great facilitator of life. Progressive Neurobiology 2009 June; 88(2): 127-151.

Leitzmann MF, Platz EA, Stampfer MJ, Willett WC, Giovannucci E. Ejaculation frequency and subsequent risk of prostate cancer. Journal of the American Medical Association 2004; 291(13): 1578-1586.

Segerstrom SC, Miller GE. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychology Bulletin 2004 July; 130(4): 601-630.

Tessler Lindau S, Gavrilova N. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. British Medical Journal 2010; 340: c810.

By |2022-10-10T16:48:48-05:00January 15th, 2014|Articles, General|