Targeted Relief for the Body
Toxopheresis is an extracorporeal blood purification procedure. This means that a portion of the blood is passed through a multi-stage filtration system outside the body. This process can reduce the levels of certain larger or protein-bound components in the blood plasma. The blood cells and the filtered plasma are then returned to the bloodstream.
At Nabegh Assad’s practice, we carefully assess whether a toxopheresis treatment in Baden-Baden would be medically appropriate for your specific situation. This assessment is based on a detailed medical consultation, existing test results, and individualized diagnostics.
Targeted Relief for the Body
Toxopheresis is an extracorporeal blood purification procedure. This means that a portion of the blood is passed through a multi-stage filtration system outside the body. This process can reduce the levels of certain larger or protein-bound components in the blood plasma. The blood cells and the filtered plasma are then returned to the bloodstream.
At Dr. Alexander Vierheilig’s private practice, we carefully assess whether toxopheresis in Baden-Baden may be medically appropriate for your specific situation. This assessment is based on a detailed medical consultation, existing test results, and individualized diagnostics.
Benefits of Toxopheresis at Our Private Practice
A Holistic Approach to Your Health
Before a toxopheresis treatment in Baden-Baden, we don’t just look at individual lab results. We take into account your symptoms, pre-existing conditions, previous treatments, medications, and existing medical findings. This allows us to develop a personalized treatment plan tailored to your specific health situation.
When might toxopheresis be considered?
A medical consultation may be advisable in the following situations, among others:
- Persistent symptoms following an infection
- Long-term or post-COVID symptoms
- a diagnosis of ME/CFS
- Evidence of chronic inflammatory or immunological processes
- abnormal immune complexes or certain autoantibodies
- a reasonable suspicion of relevant toxic exposure
- complex symptoms that persist despite previous treatments
Whether this procedure is right for you cannot be determined based solely on a diagnosis or a single lab result. The decision on whether it is indicated is always made on a case-by-case basis by a doctor.
A detailed discussion of your symptoms, test results, and previous treatments
Thorough evaluation of possible causes and medical conditions
Processing of blood plasma using a special dual-filter system
Monitoring of vital signs and overall well-being throughout the entire treatment
Information on opportunities, limitations, and potential risks
Benefits of Toxopheresis at Our Private Practice
A Holistic Approach to Your Health
Before a toxopheresis treatment in Baden-Baden, we don’t just look at individual lab results. We take into account your symptoms, pre-existing conditions, previous treatments, medications, and existing medical findings. This allows us to develop a personalized treatment plan tailored to your specific health situation.
When might toxopheresis be considered?
A medical consultation may be advisable in the following situations, among others:
- Persistent symptoms following an infection
- Long-term or post-COVID symptoms
- a diagnosis of ME/CFS
- Evidence of chronic inflammatory or immunological processes
- abnormal immune complexes or certain autoantibodies
- a reasonable suspicion of relevant toxic exposure
- complex symptoms that persist despite previous treatments
Whether this procedure is right for you cannot be determined based solely on a diagnosis or a single lab result. The decision on whether it is indicated is always made on a case-by-case basis by a doctor.
A detailed discussion of your symptoms, test results, and previous treatments
Thorough evaluation of possible causes and medical conditions
Processing of blood plasma using a special dual-filter system
Monitoring of vital signs and overall well-being throughout the entire treatment
Information on opportunities, limitations, and potential risks
What Our Patients Say About Treatment at Our Practice
A highly recommended orthopedic practice. The central location is extremely convenient, and the modern, tastefully decorated offices create a pleasant atmosphere right from the start. Dr. Assad and his team take the time to listen to their patients, pay close attention, and explain diagnostic findings and treatment options in a very clear and understandable way. You always feel completely in good hands. The entire practice team also deserves special mention: they’re friendly, knowledgeable, and always extremely helpful. Overall, it’s a very professional practice where you feel well cared for from the very first moment. Many thanks to the entire team; I highly recommend them 🙂
The team and Dr. Assad himself are extremely friendly, polite, and know their craft. Thanks to Dr. Assad’s strong interdisciplinary network, additional diagnostic and therapeutic measures can also be implemented quickly and efficiently. I am grateful for the prompt and excellent care I received here.
I highly recommend this practice. Dr. Assad put together a personalized treatment plan for me, and I feel more energetic and focused again—and I hardly ever get headaches anymore. Thank you!
Here’s How Toxopheresis Works
Before your first treatment, you will have a detailed consultation with a doctor. During this consultation, we will discuss your symptoms, medical history, medications, and any existing test results. Depending on your initial condition, additional laboratory tests may be necessary.
For this treatment, venous access is typically established in both arms. Blood is continuously drawn from the body into a closed tubing system. In the first step, the blood cells are separated from the plasma. The plasma then passes through a second filter that can retain certain larger or protein-bound components.
Afterward, the filtered plasma and blood cells are recombined and returned to your body. During the treatment, your blood pressure, pulse, and general well-being, among other things, will be monitored.
- Initial Consultation: Review of Your Medical History and Previous Findings
- Preliminary Examination: Assessment of Medical Eligibility
- Preparation: Establishment of venous access and initiation of monitoring
- Filtration: Multistage processing of blood plasma
- Follow-up: Monitoring vital signs and discussing the next steps
The duration of treatment and the number of sessions required depend on the procedure used, the volume of plasma to be filtered, and your individual health condition.

Here’s How Toxopheresis Works
Before your first treatment, you will have a detailed consultation with a doctor. During this consultation, we will discuss your symptoms, medical history, medications, and any existing test results. Depending on your initial condition, additional laboratory tests may be necessary.
For this treatment, venous access is typically established in both arms. Blood is continuously drawn from the body into a closed tubing system. In the first step, the blood cells are separated from the plasma. The plasma then passes through a second filter that can retain certain larger or protein-bound components.
Afterward, the filtered plasma and blood cells are recombined and returned to your body. During the treatment, your blood pressure, pulse, and general well-being, among other things, will be monitored.
- Initial Consultation: Review of Your Medical History and Previous Findings
- Preliminary Examination: Assessment of Medical Eligibility
- Preparation: Establishment of venous access and initiation of monitoring
- Filtration: Multistage processing of blood plasma
- Follow-up: Monitoring vital signs and discussing the next steps
The duration of treatment and the number of sessions required depend on the procedure used, the volume of plasma to be filtered, and your individual health condition.

What is toxopheresis?
Gentle Blood Filtration
Toxopheresis is a specific form of therapeutic apheresis. It is often referred to as double-filtration apheresis. Unlike in a complete plasma exchange, the plasma is not completely discarded and replaced with donor plasma. Instead, it passes through an additional filter and is then largely returned to the body.
Primary Filtration
First, the cellular components of the blood—such as red and white blood cells and platelets—are separated from the blood plasma.
Second Filtration
The collected plasma is passed through another filter. Depending on the filter’s properties, certain high-molecular-weight or protein-bound components may be retained.
Which substances can be reduced and to what extent depends, among other things, on their size, their protein binding, the filtration system used, and the individual’s specific condition. Toxopheresis is therefore not a general “detoxification” of the entire body.
Make an individual decision, provide careful support
Toxopheresis is a medical procedure and should only be performed after a careful risk-benefit assessment. Possible side effects may include, for example, circulatory reactions, temporary dizziness, bruising, or secondary bleeding at the puncture sites, as well as reactions to the anticoagulant used. In addition, the procedure may also affect desirable plasma components such as certain proteins or clotting factors. Therefore, prior diagnostic evaluation, proper execution, and medical supervision are particularly important.
We provide you with transparent information about the available treatment options, the current scientific findings, and the limitations of the procedure.
Personalized support from the very beginning
From in-depth consultation and medical preparation to the carefully monitored procedure itself, responsible care is our top priority. This ensures that every step of the treatment is planned transparently and closely monitored.
FAQ
Frequently Asked Questions About Toxopheresis in Baden-Baden
The decision to undergo toxopheresis often raises questions: What is filtered during the treatment? How does it work? And what side effects can be expected? Here you’ll find some initial answers. This information is not a substitute for a personal medical evaluation.

Schedule your consultation now – Toxopherese Baden-Baden
During a one-on-one consultation, we’ll take the time to discuss your symptoms, previous test results, and any questions you may have. Together, we’ll determine whether toxopheresis can effectively complement your current treatment plan, and we’ll openly discuss the next steps.

Schedule your consultation now – Toxopherese Baden-Baden
During a one-on-one consultation, we’ll take the time to discuss your symptoms, previous test results, and any questions you may have. Together, we’ll determine whether toxopheresis can effectively complement your current treatment plan, and we’ll openly discuss the next steps.
