functional medicine overview
TRANSCRIPT
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Functional MedicineFunctional Medicine
A Procedural OverviewA Procedural Overview
By Dr. John ReesBy Dr. John Rees
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The PhilosophyThe Philosophy
Traditional medicine attacks diseaseTraditional medicine attacks disease
Functional medicine attempts toFunctional medicine attempts torestore and balance normalrestore and balance normal
physiology.physiology.
The thought is a balanced, strongThe thought is a balanced, strongbody can heal itself.body can heal itself.
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What doesnt workWhat doesnt work
Replacing medicines with supplementsReplacing medicines with supplements
Using the Internet to diagnose yourselfUsing the Internet to diagnose yourself
Treating symptoms with supplementsTreating symptoms with supplements Believing the over the top claims on supplementsBelieving the over the top claims on supplements
( no single supplement fixes everything or even( no single supplement fixes everything or even
a lot of things)a lot of things) Short term trials of alternative medicineShort term trials of alternative medicine
approaches It typically takes 6 to 12 monthsapproaches It typically takes 6 to 12 months
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What Does WorkWhat Does Work
I utilize a Seven Pillar approach developed by Dr.I utilize a Seven Pillar approach developed by Dr.
Stuart WhiteStuart White
The seven pillars in order of importance:The seven pillars in order of importance:hormonal/neurological, glycemic regulation, bio-hormonal/neurological, glycemic regulation, bio-
terrain, inflammation, immune system,terrain, inflammation, immune system,
circulation and digestion.circulation and digestion.
Supplements, diet change, exercise, stressSupplements, diet change, exercise, stress
modification and sleep enhancement are all partmodification and sleep enhancement are all part
of the programof the program
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Pillar 1 Endocrine/NeurologicalPillar 1 Endocrine/Neurological The most powerful and important system toThe most powerful and important system to
optimize to achieve health and vitality.optimize to achieve health and vitality.
Strengthening and balancing includes theStrengthening and balancing includes the
following:following: Correcting HPA axis Correcting HPA axis
hypothalamus/pituitary/adrenal (also ovaries,hypothalamus/pituitary/adrenal (also ovaries,
testis, prostate, thyroid, etc.)testis, prostate, thyroid, etc.)
Normalizing and balancing Hormone levelsNormalizing and balancing Hormone levels
Optimizing cellular response to hormones, thusOptimizing cellular response to hormones, thus
preventing or correcting hormone resistancepreventing or correcting hormone resistance
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Pillar 2 Glycemic ControlPillar 2 Glycemic Control
Single most stressful job of the adrenal glands isSingle most stressful job of the adrenal glands is
controlling blood sugarcontrolling blood sugar
Has become an issue due to the food we eatHas become an issue due to the food we eat Single biggest lifestyle changes required toSingle biggest lifestyle changes required to
correct this pillar. They include eating bettercorrect this pillar. They include eating better
and exercising more.and exercising more.
Tremendous change can occur in a short amountTremendous change can occur in a short amount
of time with right approach.of time with right approach.
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Pillar 3 Bio-terrainPillar 3 Bio-terrain
Term to describe the mineral content ofTerm to describe the mineral content ofthe body.the body.
Imbalances result in PH (acid/base)Imbalances result in PH (acid/base)changes in the bodychanges in the body
Deficiencies produce imbalances in theDeficiencies produce imbalances in the
seven pillars.seven pillars. Makes large symptom impact whenMakes large symptom impact when
addressed, but takes longer to stabilize.addressed, but takes longer to stabilize.
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Pillar 4 InflammationPillar 4 Inflammation
Another pillar strongly impacted by lifestyle.Another pillar strongly impacted by lifestyle.
Dependence on grain products as major sourceDependence on grain products as major source
of food is the primary driver of inflammation.of food is the primary driver of inflammation. Poor fat choices also contribute. Good fat Poor fat choices also contribute. Good fat
anti-inflammatory, bad fat pro-inflammatoryanti-inflammatory, bad fat pro-inflammatory
A major cause of disease and a majorA major cause of disease and a majordeterminant of disease progression and severity.determinant of disease progression and severity.
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Pillar 5 Immune SystemPillar 5 Immune System
70% of immunity comes from the GI tract.70% of immunity comes from the GI tract.
Imbalances can lead to allergies and/orImbalances can lead to allergies and/or
immune weakness resulting in infection,immune weakness resulting in infection,both acute and chronic.both acute and chronic.
Major player in all auto-immune diseasesMajor player in all auto-immune diseases
along with inflammation.along with inflammation. Strengthening is easy, balancing is trickyStrengthening is easy, balancing is tricky
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Pillar 6 CirculationPillar 6 Circulation
Cardiovascular disease is still the numberCardiovascular disease is still the number
one cause of death in the United States.one cause of death in the United States.
Dyslipidemia is a major precursor.Dyslipidemia is a major precursor. Inflammation is what makes dyslipidemiaInflammation is what makes dyslipidemia
dangerousdangerous
Cholesterol is not the devil.Cholesterol is not the devil.
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Pillar 7 DigestionPillar 7 Digestion
For food and supplements to make you healthy,For food and supplements to make you healthy,
you have to have optimal digestion.you have to have optimal digestion.
Poor digestion leads to poor GI tract immunity,Poor digestion leads to poor GI tract immunity,see earlier slide.see earlier slide.
Digestion and assimilation are pivotal in theDigestion and assimilation are pivotal in the
seven pillar approach.seven pillar approach.
Digestive disruption is one of the leading causesDigestive disruption is one of the leading causes
of frailty in older Americans.of frailty in older Americans.
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So what do we do?So what do we do?
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Step 1 - HistoryStep 1 - History
The first and most important step.The first and most important step. Computerized history Symptoms areComputerized history Symptoms are
grouped into major physiological systemsgrouped into major physiological systems
and a numerical score obtained. Thisand a numerical score obtained. Thisallows for the patient to easily trackallows for the patient to easily track
response over time.response over time.
Oral history Gives the patient the chanceOral history Gives the patient the chanceto fill in the blanks on what they think isto fill in the blanks on what they think is
important.important.
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Step 2 Laboratory workStep 2 Laboratory work
Functional evaluation of blood tests can beFunctional evaluation of blood tests can be
different then medical evaluation.different then medical evaluation.
Functional evaluation looks atFunctional evaluation looks atphysiological optimum levels.physiological optimum levels.
The normal ranges listed are designed toThe normal ranges listed are designed to
show disease. If it is outside of range,show disease. If it is outside of range,pathology exists.pathology exists.
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Normal vs. OptimalNormal vs. Optimal
Symptoms and other signs of dysfunctionSymptoms and other signs of dysfunction
often start before abnormal readings areoften start before abnormal readings are
obtained.obtained. Therefore, non optimal values are closelyTherefore, non optimal values are closely
evaluatedevaluated
Treatment attempts to move people intoTreatment attempts to move people intooptimal ranges.optimal ranges.
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Functional vs. Normal Lab ValuesFunctional vs. Normal Lab Values
Normal rangeNormal range of TSH ( Thyroid Stimulating Hormone)of TSH ( Thyroid Stimulating Hormone)
Normal Range 0.35 to 5.5Normal Range 0.35 to 5.5
0.350.35 5.55.5
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Functional vs. Normal Lab ValuesFunctional vs. Normal Lab Values Normal rangeNormal range andand abnormal rangesabnormal ranges of TSHof TSH
(Thyroid Stimulating Hormone)(Thyroid Stimulating Hormone)
Normal Range 0.35 to 5.5Normal Range 0.35 to 5.5
Abnormal Range 0 to 0.35 and 5.5 or greaterAbnormal Range 0 to 0.35 and 5.5 or greater
0.0 0.350.0 0.35 5.5 or greater5.5 or greater
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Functional vs. Normal Lab ValuesFunctional vs. Normal Lab Values Normal rangeNormal range,, abnormalabnormal andand optimal rangeoptimal range, of TSH, of TSH
(Thyroid Stimulating Hormone)(Thyroid Stimulating Hormone)
Normal Range 0.35 to 5.5Normal Range 0.35 to 5.5
Abnormal Ranges 0.0 to 0.35 or 5.5 or greaterAbnormal Ranges 0.0 to 0.35 or 5.5 or greater
Optimal Range 1.0 to 2.5Optimal Range 1.0 to 2.5
0.0 0.35 1.0 2.5 5.5 or greater0.0 0.35 1.0 2.5 5.5 or greater
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Additional Testing MeasuresAdditional Testing Measures
Hair AnalysisHair Analysis
Saliva TestingSaliva Testing
Stool TestingStool Testing
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Hair AnalysisHair Analysis
Gives us the mineral content of hairGives us the mineral content of hair
Ratios of certain minerals gives us theRatios of certain minerals gives us the
effects of certain hormones at the cellulareffects of certain hormones at the cellularlevellevel
Heavy metal toxicity can be evaluatedHeavy metal toxicity can be evaluated
Protein metabolism can be evaluatedProtein metabolism can be evaluated
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Saliva TestingSaliva Testing
Tests level of free hormones at tissue levelTests level of free hormones at tissue level
Different from protein bound blood levelsDifferent from protein bound blood levels
Cheaper, so a greater number of tests canCheaper, so a greater number of tests can
be performedbe performed
Often picks up hormone irregularitiesOften picks up hormone irregularities
before they show up on blood testingbefore they show up on blood testing
Safe and reliableSafe and reliable
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Stool TestingStool Testing
Shows problems with parasitesShows problems with parasites
Shows problems with pathological bacteriaShows problems with pathological bacteria
and fungusand fungus Shows ratios of normal healthy bacteria toShows ratios of normal healthy bacteria to
determine if dysbiosis is presentdetermine if dysbiosis is present
Reveals inflammatory markers for bothReveals inflammatory markers for both
upper and lower gastric levelsupper and lower gastric levels
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Treatment ApproachTreatment Approach When all history and testing is concluded, a physical examWhen all history and testing is concluded, a physical exam
is performedis performed Potential vitamins are selected and muscle testing is usedPotential vitamins are selected and muscle testing is used
to further select treatment protocols.to further select treatment protocols.
Lifestyle changes are suggested and encouraged at theLifestyle changes are suggested and encouraged at theappropriate time including diet, exercise, sleep and stressappropriate time including diet, exercise, sleep and stressmanagementmanagement
The patient is sent home with typically a months supply ofThe patient is sent home with typically a months supply ofsupplements and a follow up exam is scheduled.supplements and a follow up exam is scheduled.
Patients have access to the Dr. thru the month if anyPatients have access to the Dr. thru the month if anyquestions or concerns should arise.questions or concerns should arise.
The patient is given at least a monthly chiropracticThe patient is given at least a monthly chiropracticadjustment to help restore the Pillar 1,adjustment to help restore the Pillar 1,
hormonal/neurologicalhormonal/neurological
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Follow up ExamsFollow up Exams
Patients are seen on a monthly basis.Patients are seen on a monthly basis. Histories are repeated and symptom resolution isHistories are repeated and symptom resolution is
quantified and explainedquantified and explained New possible supplement protocols are identifiedNew possible supplement protocols are identified
and then selected thru muscle testing.and then selected thru muscle testing. Lifestyle changes continue to be evaluated,Lifestyle changes continue to be evaluated,
emphasized and encouraged.emphasized and encouraged. A chiropractic adjustment is performedA chiropractic adjustment is performed A new regimen is given and the patient isA new regimen is given and the patient is
scheduled again for the next month.scheduled again for the next month.
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Treatment ProgressionTreatment Progression
Monthly evaluations are performed until healthMonthly evaluations are performed until healthgoals are achievedgoals are achieved
Lab work is repeated when appropriate toLab work is repeated when appropriate todetermine objective improvementdetermine objective improvement Lifestyle changes are continually emphasizedLifestyle changes are continually emphasized
and monitoredand monitored
Once health is achieved the patient isOnce health is achieved the patient istransitioned into a maintenance program andtransitioned into a maintenance program andseen in the future on an as needed basis.seen in the future on an as needed basis.
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OutcomesOutcomes Vitality restored peace, creativity, joy Not justVitality restored peace, creativity, joy Not just
not sick.not sick. Disease manifestation is avoided or lessened inDisease manifestation is avoided or lessened in
severityseverity Symptom resolutionSymptom resolution Lab results are improvedLab results are improved Often medications can be discontinued orOften medications can be discontinued or
lowered in dosagelowered in dosage Weight loss is almost always achievedWeight loss is almost always achieved Overall physical conditioning is achievedOverall physical conditioning is achieved Pain and inflammation levels are loweredPain and inflammation levels are lowered
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Outcomes ContinuedOutcomes Continued
Mood levels are improvedMood levels are improved
Activities and hobbies are resumedActivities and hobbies are resumed
Libido is improved.Libido is improved. All in all, most people feel several decadesAll in all, most people feel several decades
younger at the end of the treatment approach.younger at the end of the treatment approach.
New healthier lifestyles are learned andNew healthier lifestyles are learned andunderstood, and habits are formed to maintainunderstood, and habits are formed to maintain
improvement long termimprovement long term
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Milton ChiropracticMilton Chiropractic
Dr. John ReesDr. John Rees113 Union Street113 Union Street
Milton, Delaware 19968Milton, Delaware 19968
302 684-1995302 684-1995302 684-1559 fax302 684-1559 fax
email:email:[email protected]@firststatehealth.com