roadmap to resolution - fxnutrition.com · roadmap to resolution | andrea nakayama 2. there was no...

GENES

DIGESTION

INFLAMMATION

YOUR BLUEPRINT FOR THRIVING IN PRACTICE BY ADDRESSING THE ROOT CAUSES OF CHRONIC ILLNESS

FOR HEALTH COACHES, NUTRITIONISTS, DIETICIANS, REGISTERED NURSES, ACUPUNCTURISTS,

NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND FUNCTIONAL MEDICINE PRACTITIONERS

WHO ARE READY TO MAKE A DIFFERENCE

BY ANDREA NAKAYAMAFUNCTIONAL MEDICINE NUTRITIONIST, FOUNDER, FUNCTIONAL NUTRITION LAB

RESOLUTIONROADMAP TO

contents 1 Introduction

7 PART1

Isthisreallyahealthcarecrisis?

16 PART2Sciencehastheanswers(butyoumaybelookingforthewrongdata)

22 PART3Whereyoufit

32 PART4 Whatnow?

35 AboutAndrea

36 References

1

ThehardestthingIeversaidtomyhusbandIsamuwasthatitwasOKtodie.

Isamuwasdiagnosedwithabraintumorwhenhewas32yearsold,andIwasjustsevenweekspregnantwithourfirstandonlychild.Atthetime,he’dbeenworkingasasoftwaredeveloper,andIwasinbookpublishing.We’dbeenmarriedtwoyears,togetherseven,livingfulfilledandprolificlivesinSanFrancisco.

Honestly,thereweren’tanysymptomsthatIcanlookbackontosaythatabraintumorwasbrewing.Maybetherewastheoddinstanceofareportednumbarmortheminorcollisionwithaparkinglotcolumnthathedidn’tseeinhisperipheralvision.Butthoseareretrospectiveneedlesinthehaystack.They’realsothethingswebrushoffinourinfal-libleyouthasoddandinconsequential.

ThencamethethreedaysofheadachesthatcausedsomuchpainthatIsamucouldn’tmovewithoutvomiting.Aweeklaterwereceivedthenewsconfirmingabraintumor.WeweresittinginaUCSFhospitalroom,sidebysideonanarrowcot,bothofusnauseous.MefrompregnancymorningsicknessandIsamufromthesightofhisswollenrightcheekafterhisfirstcraniotomy—the16-hoursurgeryperformednotonlyto“debulk”themassinhiscranium,butalsotocompleteapathologysothattheycouldidentifywhatthecellsremovedfromhisrightfrontallobewere,andhowthreateningtheymightbe.

Introduction

2

ROADMAP TO RESOLUTION | Andrea Nakayama

Untilthenlifeseemednormal.Blessedactually.Weweretheluckyones.This“brainthing”wouldjustbearoughpatchandwe’dgetbackonourway—onourcontinuedroadtoalifewelllived.

Yetinthatmoment,thedangerwasreal,asistrueforsomanylookingforanswers.TosaythatIsamuwasstill“lucky”wouldbeadistortion,but,insomeways,itwasfortunatethathisconditionwassoquickly

givenaname.Thepathologyrevealedaglioblastomamulti-forme(GBM),oneofthemostnasty,invincibleanddeadlytypesofcancer.ThedoctorgaveIsamutheusualprognosisassignedtothiscondition—onlysixmonthstolive.Hewastoldhewouldlikelynotlive

tomeetourbaby,whoseduedatewaseightmonthsaway.

Afterthatdiagnosisheenduredtwooperations,eightweeksofradiationtherapy,threeroundsofchemo,oncology,radiology,surgicalrecovery,andmore.

Asdifficultasthemedicalinterventionswere,thewayIsamuwastreatedwaspossiblyevenworse.

Fromthemomentofhisdiagnosis,itwasasifhewereawalkingdeadman.ThedoctorsandnursesspoketousasifthismanIlovedwasjustmomentsawayfromexpiration.Shruggedshoulders.Dismissal.Despondency.

Thisilluminatedformetwoglaringproblemswithourcurrenthealth-caremodel:

1. Everyonewiththesamediagnosiswastreateduniformly,regardlessoftheirage,history,lifestyle,oruniquephysiology.

EVERYTHING IS CONNECTED.

WE ARE ALL UNIQUE.

ALL THINGS MATTER.

3


2. Therewasnohumanityinthetreatmentprotocols.Noempathyforthepersonwhohadthedisease.Ifyouhadadiagnosis,youwerejustthat—thediagnosis,andnotmuchmore.

Focusedonsinglebodysystemsandpronouncements,thecurrentsystemignoredcriticalfactors—fromthehealthofotherbodysystems(we’veknownfordecadesthatthebraindoesn’texistinavacuum)tofoodeaten,togenetics,totravelhistory,toloveandmore—thatcouldhaveaneffectonaperson’shealing.

IsamuandIwereadvocatingforlifeineverywaypossibleandthestandardofcarewasn’tgoingtoworkwellenoughtomeetourneeds.Withasituationsograve,weweren’tabouttorenouncethemedicalrecommendations.Yetweknewtherehadtobemoretothehealingequation.

WhileIwasapassionatefoodieatthetime,Iknewlittleaboutnutrition.Iquicklyidentifiedthatwhatweatewasoneofthefewhealingresourceswehadcompletecontrolover,andfullaccessto.IspentthecomingweeksandmonthsafterIsamu’sdiagnosistirelesslyresearchingnutrition,andhowtousefoodasmedicinetohelpalleviatemyhusband’smedication-inducedsymptoms,andpotentiallystaveofftheeffectsofthediseaselongenoughforhimtomeetoursonGilbert.

Ithinkofthistimeasmynutritionalbootcamp.And,truthbetold,Iwasgoingformorethanjustsurvivalwithmypursuits,explorations,andexperimentations.

100Autoimmunity is the underlying cause of more than 100 known serious, chronic illnesses.

KNOWN SERIOUS, CHRONIC ILLNESSES

4


MyresearchintothenuancesoffoodasmedicinewasnewlyborninthosemonthsafterIsamu’sdiagnosis.Itledmenotjusttothekitchen,whereIexperimentedwithpressurecookedcuttlefishbroth,medicinalmushroomsandlow-glycemicsweeteners,butbacktoschoolwhereIstudiedsciencesanddrewconnectionsthatweren’tbeingmadeformeanywhereelse.Thebiologicalnetworksandcommunicationsthatdrewmyattentionincludedlinksbetweenskinoutbreaks,anxietyanddigestivehealth,aswellashowtheimmunesystemcanbeimpairedinthepresenceofanemia.Ifoundmyselflookingattherelationshipsbetweenestrogendominance,brainfogandconstipation.AndofcourseIwasdrawntolinksbetweenbloodsugarmanagement,cancergrowthanddetoxification.

Iwasstartingtodrawimportantconclusions:

• Everythingisconnected.• Weareallunique.• Allthingsmatter.

ThesearetheprinciplesIwillfocusoninthisRoadmap.It’saRoadmapbecauseitwilloutlineforyouhowtousethesethreepreceptstohelpothersfeelbetterwhilegrowingyourpracticeintoonethatthrivesbecauseofyourpassiontohelppeopleanddogoodwork.It’swhatIwantmost—foryoutogetoutintotheworldandhelpthemanypeoplewhoneedyou!

Ibelievepeoplelikemylatehusbandsufferedwithoutenoughcare.Yes,thecarehereceivedwasphenomenal.Itwasthebestconventionalcareinthecountryforhiscondition.Butitwasonlypartial care.WeencounteredmanyGAPSandtogetherwescrambledtofillthem.Onceagain,despitethehardships,wewere“lucky.”Wehadboththeunder-standingandtheresourcestorecognizethattherewerevoids,andtheabilitiestofillthosevoids.

5


IfIknewthenwhatIknownow,therearemorevoidsIwouldhavefilled.

Andthat’swhyIneedtosharewhatI’velearnedwithyou.

TogetherwecanidentifytheGAPSandtogetherwecanfillthem.Forourselves.Forourfamilies.Forourclientsandpatients.Andforthesystemthatis,inmanyways,flounderingunderthepressuresthatit’snotdesignedtowithstand.

AboutsixyearsafterIsamudied,nowasinglemom,puttingmyselfbackthroughschoolandworkingfull-time,Ialsounearthedadiagnosisofmyown.Thisonewasn’tsoeasilynamed.Therewasnosurgery.Nopathology.Justsymptoms.Lotsofnigglingsymptoms.

Mybodydidn’tfeellikeitshould(fatigue,weightgain,perpetuallytenderbreasts),despiteallmyhardworkandefforts(the“perfect”diet,therightsupplements,sleepandyoga).FinallyIconfirmedwithsomeexpandedlabtesting(testingthatIhadtobegfor),whatIalreadysuspectedtobetrue.IhadanautoimmuneconditioncalledHashimoto’sthyroiditis.Mybodyhadbegunanassaultonitself,andhonestly,Ibegantoblameitaswell.I’dbeenthroughsomuchalready.AndIwasworkingsohardtokeepitalltogether.

AfterallI’dbeenthroughandallIwasdoingtotakecareofmyself,thesesymptoms,thisdiagnosis,justweren’tfair.

AndI’mnotalone.Youlikelyknowsomeone(maybeyourself)whosuffersfromanautoimmunecondition.Youmayknowhowdebilitatinganddepressinganddemoralizingandisolatingitcanbetonotbeheardandvalidated—tobeleftuntreated!

Approximately 1 in 12 women are afflicted with distressing symptoms.

WO

ME

N1 12IN

6


AccordingtotheOfficeofResearchonWomen’sHealthattheNationalInstitutesofHealth(NIH),autoimmunityistheunderlyingcauseofmorethan100knownserious,chronicillnessesincludingalopecia(whichleadstohairloss),Celiacdisease(impactingthesmallintestineanddigestivefunction),endometriosis(affectingtheuterus),rheumatoidarthritis(impactingthejoints),andmore.Evendiabetesisnowknowntobefueledbyunderlyingautoimmunity.Weneedanewapproachtocombatthisfast-growingproblemknockingpatientsoutofpowerandliterallybacktothebedroom—indiscomfortandagony.Additionalautoimmunediagnosesarediscoveredeachyear.Andofthemillionslivingandcopingwithautoimmunedisease,morethan75%ofthemarewomen.That’sapproximately1in12womenafflictedwithdistressingsymptoms.

That’swhywecannotstopwithorwaitforthediagnosis.

Reliefdoesn’tcomeeasily.

Thereisnoonepill.There’snofool-proofdietorprotocol.

There’sonlyonesolutiontothishealthcarecrisis.It’sanewkindofpractitioner.I’mhopefulthatthisnewpractitionerisyou.

THERE’S ONLY ONE SOLUTION

TO THIS HEALTHCARE CRISIS. IT’S

A NEW KIND OF PRACTITIONER.

I’M HOPEFUL THAT THIS NEW

PRACTITIONER IS YOU.

7

InmyField Guide to Functional Nutrition ebook,IdefinedsomekeytermsinFunctionalNutritionandFunctionalMedicine.IalsostipulatedthattheFunctionalMedicinemodelpresentsanidealscenarioforaddressingindividualizedcare—takingmorepiecesoftheindividual’spuzzle(patienthistory,signs,symptoms,diagnosis,currenthabitsandmore)andcreatingamorecomprehensivecompositebeforeissuingrecom-mendations.IntheField GuideIpositedthatit will take a specifically trained practitioner to bridge the GAPbetweenthephysicianandthepatient,andtoyieldbothbetterandmoresustainableoutcomes.

Is this really a healthcare crisis?

part 1

“There comes a time when humanity is called to shift to a new level of consciousness . . . that time is now.”

WANGARI MAATHAI

THERE IS A GAP IN THE FUNCTIONAL

MEDICINE MODEL. A GAP THAT MUST BE

FILLED FOR THIS HOLISTIC, INDIVIDU-

ALIZED AND PROMISING APPROACH IN

HEALTHCARE TO SUCCEED.

http://bit.ly/manifesto07


8


The Functional Medicine Physician is technically trained to see the whole person, appreciates the role of the web of interactions in the body, and values the role of diet and lifestyle modification in the treatment plan. The physician has a vantage point of the whole terrain (and we celebrate that!) Yet she cannot possibly tend to every detail in the therapeutic plan. And we cannot really ask her to! (Hello burnout.)

In fact, and in all honesty, she doesn’t necessarily have the time, patience, or even the skillset to determine a patient’s relationship to things like habit change, a true understanding of the impact of their daily choices on their own body’s systems, the sociological or economic factors that prevent that patient from executing on the scope of the desired plan, or even how to pivot when a protocol doesn’t go as expected. That protocol could be in relation to a diet or lifestyle modification, an added nutrient, or even a pharmacological intervention.

A GAP IN UNDERSTANDING

TheinterestingthingwasthatwhenIwroteorspokeaboutthisGAP,theGAPbetweenthephysicianandthepatientintheFunctionalMedicinemodel,mostreadersstillwantedtocelebratetheFunctionalMedicinePHYSICIAN.IfounditfascinatingthatIwasexplicitlypointingtoaGAPbetweenphysicianandpatient,andyetitstillwasn’tseen.

EventhoseofusaimingtofillthisGAP—thecoaches,nutritionists,dietitians,nurses,andmorewhoknowthereisamorepatient-cen-teredandindividualizesolution—revertedtotheideathatthedoctorwillfixall,thatthereMUSTbeamedicalpractitionerthathasthe

DOCTOR

PATIENT

9


answerstoallourhealthwoesandtheculturalhealthstatusthatleavesmorepatientssick,tired,frustratedandevendemoralized.

Andmaybethereis.Butwhatifthereisn’t?Whatiftrueremedyrequiresyou?

Let’stakealookatourcurrenthealthcaresystemasitrelatestothenew“sick”epidemic—focusingonthosewithsymptomsthatcontinuetobemedicallyunrecognized,unex-plainedandunnamed.(Iliketorefertothispopulationasthe20%.)

Ina2017paperentitled“Medically unexplained: symptoms and symptom disorders in primary care: progno-sis-based recognition and classifica-tion,”inthepeer-reviewedjournalBMC Family Practice,theresearchbackgroundrecognizesthisproblem:

Many patients consult their GP because they experience bodily symptoms. In a substantial proportion of cases, the clinical picture does not meet the existing diagnostic criteria for diseases or disorders. This may be because symptoms are recent and evolving or because symptoms are persistent but, either by their character or the negative results of clinical investigation cannot be attributed to disease: so-called “medically unexplained symptoms” (MUS).

Iwouldaddthatwelikelydon’tyethavetheappropriatediagnosticcriteriaforanewwaveofconditionsthataretheresultofmyriadinsults—lifestyle,environmentandevenevolution.

AccordingtoasurveybytheAmericanAutoimmuneRelatedDiseaseAssociation(AADRA),ittakesatleastfourdoctors,onaverage,beforeapatientwithanautoimmunediseaseisproperlydiagnosed.

Most autoimmune patients see at least 4 doctors before getting a diagnosis.4

DOCTORS


10


Thisisbecauseautoimmunecondi-tionsaresomewhatmysteriousandconfusingtoourmedicalsystem,whichismoreequippedtohandleacutecaresituations.Autoimmunediseasesseemtoarriveunpredictably,oftendisguisedasothersignsandsymptoms,withonlypuzzlingcluesastowhattheyare.There’salsoalaundrylistofthem—alldifferentconditionswhereyourimmune

systemhasturnedonparticulartissueswithinthebody.Andmanyofthosediagnosesdon’tcomewithaneasytestthatsays“Bingo!That’swhatyou’vegot.”Thediagnosisofanautoimmunediseaserequiressometoughandtargeteddetectivework.

AsMayaDusenberywritesinherbookDoing Harm:The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick (HarperOne),“Theincentivefordoctorstositandlistentopatientshascompletelydisappeared.It’sanegativeincentive,theyarepunishedforslowingdown.We’vetaughtpeoplethat’sit’snotoktothinkoutsidethebox.There’snocuriosity.“

WE NEED A NEW LENS

ThispointstoanobviousGAPinourcurrentmedicalsystem.Thecurrentmedicalmodeldoesnotalwaysknowhowtoassessortreatchronicconditions.Infact,themodelthat“makessomethinggoaway”or“fixessomething”—treatingthingslikeaninfectionorbroken

75 PE

RC

EN

T75% of those suffering from an autoimmune condition are female.

YEARS

It takes an average of 3 years for most people with an autoimmune condition to receive a diagnosis.

3

11


arm—doesn’tworkforchronicconditionslikeautoimmunity.Wecan’tapplythesamestandardofcare.ThatbringsustoseveralotherGAPS.There’saGAPinthemodel.There’saGAPincare.There’saGAPinunderstanding.AndtheseleadtoaGAPintrust—betweenpatientandprovider.Ultimately,there’saPRICETOPAYforbeingapatientwhofallsintotheseGAPS.AndoftenthatPRICEisthecontinuedphysicalandemotionalsufferingofbeingmisdiagnosedorundiagnosed,andcontinuallylivingwiththesignsandsymptomsnobodyseemstoknowhowtoresolve.

It’snosurprisethen,thatin1966,theyearIwasborn,roughlythree-quar-tersofAmericanssaidtheyhad“greatconfidence”intheirdoctors,accordingtoapaperpublishedin2018intheNewEnglandJournalofMedicine.By2012,thatnumberhadtumbledto34%.

Iknowthisishardtobelieve,butit’strue.Nearly80millionAmericansaresuspectedtohaveanautoimmuneconditionandyet85%ofAmericanscannotnameone.Asacomparison,it’ssuspectedthatjustover30millionAmericanssufferfromtype2diabetesandunder20millionfromcancer.Thoseareallnumbersthatspeaktoepidemicproportions,andallshouldbeconsidered.Yettocontrasttherela-tionship,theNIHspendsover$6billiononcancerresearchannuallyascomparedto$900milliononautoimmunedisease.Again,aGAP.Andthosesufferingfromanautoimmunecondition,inaculturethatdoesnotnecessarilyknowhowtoprovideappropriatecare,makesthispopulation,inmyopinion,“underserved.”

Thereareover100diseasesconsideredtobeautoimmune.Youknowmanyofthem.TheyincludeCrohn’s,colitis,rheumatoidarthritis,lupus,Hashimoto’sthyroiditis,psoriasis,alopecia,vitiligo,multiple

AUTOIMMUNE DISEASES MAKE

UP THE LARGEST CATEGORY

OF CHRONIC ILLNESS.

12


sclerosis,type1diabetesandmanyothers.Autoimmuneconditionscanimpactallsystemsinthebody.Theyarechronic,andcanbelife-threat-ening.They’rethe4thcauseofdisabilityintheUSandthe8thleadingcauseofdeath.

They’reoftenpainful,whilebeing“invisible”and,asIalreadystated,hardtodetectanddiagnose.Andthesymptomscancomeandgo,makingthemfurtherelusivetothepractitionerstryingtoprovideacure.

Patientswithautoimmunitycanexperienceisolation,asenseofuncertainty,lossofeverydayfunction,andextremesideeffectsfromthemostcommonlyprescribeddrugs,including(butnotlimitedto)dizziness,unusualbruisingandbleeding,difficultybreathingorswal-lowing,visionproblems,jointpainandevenanincreasedriskofdevel-opingcancer.

Autoimmunityisthe#1mostpopularhealthtopicrequestedbycallerstotheNationalWomen’sHealthInformationCenter,andtheissuesgobeyondhealth.53%ofpatientswithanautoimmuneconditionexpe-rienceoneormoredirefinancialchallenge,despitehavinghealth

100AUTOIMMUNE DISEASES

There are over 100 diseases considered to be autoimmune.

CROHN’S

COLITIS

RHEUMATOID ARTHRITIS

LUPUS

HASHIMOTO’S THYROIDITIS

PSORIASIS

ALOPECIA

VITILIGO

MULTIPLE SCLEROSIS

TYPE 1 DIABETES

AND MORE...

13


© Functional Nutrition Alliance

insurancecoverage.Autoimmunediseasesareresponsibleformorethan$100billionindirecthealthcarecostsannually(comparedtocancersat$57billion.)

Ourphysicians—thosewhowelooktowardsforalltheanswers—arebearingthebruntaswell.Andasyouwillsee,theyneedyourhelp.Wealldo.

Two-thirdsofdoctorsfeelinadequatelytrainedinthecareofthechronicallyill.Specialistsaregenerallyunawareofautoimmunediseasesoradvancesintreatmentoutsidetheirownareaofspecialty.Andmainstreammedicalapproaches(pills,protocols)serveonlyasaband-aid.Theyfailtoaddressthelargerproblem,leadingtopatientswhogetsickerandsickerandamedicalsystemthatcannolongersurvivethemagnitudeofthedilemma—aninjusticetoall.

Again,accordingtoDusenbery,“Theriseofevidence-basedmedicineaddstotheproblem.Ifadiseasehasnotbeensufficientlystudied,theevidencebaseisnotthere.”Thisiswhat,intheField Guide,Icallthe“EvidenceTrap.”Whilewemustbeevidenceinformed,wecannotaffordtobeevidenceenslaved.Whenweencounterpatientswhoarejustnotgettingbetter,wemustbypassourneedforthecausativealone,andconsiderallcorrelativeinformationbecause,onceagain,everythingisconnected,weareallunique,andallthingsmatter.Thatmeansit’stimetostartmakingadifferenceinoutcomeswithwhatwedoknowandcanname.

2/3OF DOCTORS FEEL INADE-QUATELY TRAINED IN THE CARE OF THE CHRONICALLY ILL

14


GAPS IN HEALTHCARE

InadditiontothelargerGAPinthecurrenthealthcaremodel,thereareanumberofotherGAPSworthourattention:

AppointmentGAPPatients often do not know how to care for themselves between

doctor visits because of this GAP in guidance.

KnowledgeGAPThis GAP speaks to both the lack of knowledge in the current

healthcare system referenced above, and also the knowledge and education that a patient receiving an autoimmune diagnosis is missing.

There is so much the patient can do once they understand what’s going on in their body, but they cannot support themselves

if they are not given this knowledge.

AdvocacyGAPFor many with autoimmune challenges, there are myriad systems to navigate, and no roadmap or training for how to navigate those

systems. These patients need support every step of the way—from finding practitioners to advocating for their best interests with

family, friends and employers.

TrustGAPThis one is key. When it takes more than 4 doctors over 3 years to

finally get a diagnosis, patients start to lose trust in the system that is designed to “do no harm” and to offer health, healing and remedy.

KnowingthesefactsandidentifyingtheseGAPSmakesmeangry.Itmakesmepassionateaboutmakingchange.AndI’mcurious…howdoesitmakeyoufeel?

15


“Nothing will work unless you do.”—MayaAngelou

“If there is a book that you want to read, but it hasn’t been written yet, you must be the one to write it.”

—ToniMorrison

“Were there none who were discontented with what they have, the world would never reach anything better.”

—FlorenceNightingale

FlorenceNightingaleisahero(certainlyoneofMYheroes,despitesomeofthecontroversiesthatsurroundherdecisions,behaviorsandproclamations)!She’saherobecauseshechangedhospitalconditionsandsavedliveswithherhardworkanddetermination.ShesawaGAPandshefilledit—onherownandwithanewkindofpractitioner.Thesituationathandwastoograveforhertowaitforpermissionorexpectotherstodoitforher.Shewasbraveandselfless.Sheputherselfonthefrontlinestoenactchange.

Ultimately,afterinitiallybeingseenasaradicalandiconoclast,Nightingalewasgiventhenickname“ministeringangel”andwoninternationalacclaimforherbenevolence,courageandconviction.Shewasarebelandanangelinone—becauseshenotonlytookastance,shetookaction.

Ifweagreethatthereisacrisis,andseveralGAPSinthecurrentmedicalmodel(andItrustyoudo…it’snowtooobvioustoignore),thenextquestionbecomes…

What can we do about it? (Keepacloseeyeontheanswer,becauseitgivesyouboththesolutiontofillingtheGAPSinhealthcareandthesolutiontocreatingathrivingpractice!)

16

Sickisthenewfat.

It’sthethingpatientsaretryingtoavoidandresearchersarespendingtheirtimeexamining.Justasthereisan“obesityepidemic,”thereisnowachronicillnessepidemic.Andthequestionthatistopofmindforthoseafflicted,andforthoseofusthatarelookingforresolution,isWHY.

And,moreimportantly,WHATcanwedotohelp?

WhenItalkaboutchronicillness,I’mnottalkingabouttheflu.I’mnoteventalkingabout“lifestyle”illnesseslikecancerortype2diabetes.I’mtalkingaboutconstantandunremittingsignsandsymptoms—fromrashestojointpaintodepressiontofatigue—thatdon’tseemconnectedbutabsolutelyare.Thesearesymptoms,andevennameddiagnoses,thatthestandardtreatmentsalonecan’taddress.

Whiletheseexpressionsarealltoooftenchalkeduptochoices,they’refarmoreinfluencedbytheinterrelationshipsbetweenpsychology

Science has the answers

part 2

“Relationships are all there is. Everything in the universe only exists because it is in relationship to everything else. Nothing exists in isolation. We have to stop pretending we are individuals that can go it alone.”

MARGARET J. WHEATLEY

17


andphysiology,betweensignsandsymptoms,betweenhistoryandoutcomes.

Thepopulationthat’sbeingstruckbythisnewlyemergingepidemicincludesthehighlyeducated,previouslyhigh-performingwoman,whoselifehasbeenputonholdorwhoseforwardmomentumishaltedbyhereffortstomerelymanageherbody’sdailyexpressions.

Itincludesthekidwhosuffersfromeczema,severeseasonalallergiesandasthma,whoisonADD/ADHDmedicationandwhosemotherisadoctor,lookingtowardthenextband-aidorso-calledcure-alltosuppressherchild’ssymptoms.

Anditevenincludesthedoctorherself—tired,beatendownbythebureaucracyofthesysteminwhichshefindsherselfunabletosupportherfamily’schallengesandtheneedsofherpatients,apercentageofwhomdonotfitintotheprinciplesandpracticesshelearnedinmedicalschool,amongstchanginghormones,lesssleepandbarelyanytimeforexerciseorself-care.

Weliveinanageofoutrageousandchronicphysiologicalpainandsuffering.You’velikelyseentheseclientsorpatientsinyourownpractice,orwatchedafriendorfamilymemberpaythepriceoffallingintooneoftheaboveGAPSinourcurrenthealthcaresystem.Ourhealthcaresystemworkshardtodiagnose,treatandcure.Itwasnotdesignedtomitigatethelevelofpersistentandrecurrentpainwe’reseeing.Painthatdoesn’talwayscomewithaneasydiagnosis,unilat-eraltreatmentorevenacure.Therefore,it’snotthesystemwecanblame.

BELLY FAT AND OBESITY

CAN ALSO BE AMONG THE

SYMPTOMS THAT HAVE NO

EASY OR OBVIOUS REMEDY.

18


OMICS

Omicsisatermyoumayormaynotbefamiliarwith.It’sthestudyoftheinteractionsandconnectionswithinthebody—therealizationthatnothinginbiologyactsaloneorinisolation.Everythingfunctionsinpartnership,sometimessynergistically,sometimesinopposition,yetalwaysinalliance.Whenwelookatthebody,it’sawebofinterconnec-tions.ThestudyofOmicsreferstotherealmofsystembiologythat(finally)recognizesthatnothingissingular,segregatedordetermin-istic.Onlytheindividual—thepatient,theclient—issingular.Andwhathelpsustounderstandtheirsingularityisourunderstandingoftheiruniqueinteractions,withtheirmanyhistorical,environmentalandbiologicalfactors.It’sourappreciationthatallthoseconsider-ationsarenotonlyconnected,butthattheymatter.

InmedicinethismaybeconsideredanNvalueof1,wheretheindividualpatientisthesoleunitofobservationinconsideringtheefficacyorside-effectofdifferentinterventions.

ThefieldofOmicsisrapidlyevolvingtheresearchthathelpsustounderstandtheroleofsystemsbiologythroughamorecomprehen-siveandmultidisciplinarylens.Itillustrateshowourcomplexbiolog-icalsystemsareimpactedbymyriadexternalfactorsand“insults.”

MAYBE THE PERSON YOU KNOW THAT’S

FALLING INTO A GAP IN HEALTHCARE, A

GAP WHERE THE CARE DOES NOT MEET

THE NEEDS OF THE INDIVIDUAL, IS YOU.

(TRUST ME, I WAS THERE TOO.)

19


AndOmicsallowsustoconsiderwhyoneindividual’sreactionmaybedifferentthananother’s,eventhoughthey’veexperiencedthesameslightoroffense.Why do two people who eat the same e.coli contaminated spinach, get bitten by the same tick or receive the identical immunization or antibiotic react differently?Itunderscoresthelegitimacyofabio-indi-vidualisticapproachtohealthcare,supportingourrecognitionthatonesizecanneverfitall.Howcouldit?!

Omicsshowsusthatallpiecesaretrue,butpartial—andthatwhenwehavemoreofthepiecesofthepatientpuzzle,wecanseethepicturemoreclearly.AndOmicshelpsustodeterminehowtothinkthroughapreventivelens,asopposedtoacorrectivelens(let’sseewhatwecanlearnbeforeinsteadofafterthispersongetssick.)

Omicsincludesthefieldsofgenomics,epigenomics,transcriptomics,metabolomics,connectomics,enviromics,exposomics,foodomicsandmore.Eachofthesefieldsofstudyoffersustheopportunitytorecognizeandregardphysiologyinamoreglobalcontext,andinwaysthatwerepreviouslyinconceivable.

Thankstotheresearchinthesescientificfields,wenowknowwhatwecando,bothaspractitionersandaspatients(andwe’reallpatients!)topreventandpotentiallyreverseorresolvedis-ease.

WhileOmicstellsusthatallofourbodysystemsareinter-

related—anythingyoudotoaffectonepartofthebodywilllikelyaffectall parts—PrecisionMedicinetellsusthattreatmentsmustbe

TAKEN TOGETHER, THE SIGNIFICANCE

OF THESE FIELDS OF SCIENTIFIC

STUDY—OMICS, PRECISION MEDICINE

AND EPIGENETICS—IS UNDENIABLE.

EVERYTHING IS CONNECTED. DIET AND

LIFESTYLE MATTER.


20


bio-individual.Eachperson’sbiologyisasuniqueastheirfingerprint.Todeliverthemostsustainableresultsinourpractices,we’dbewisetopayheedtothis.

Epigeneticstellsusthatthereareenvironmentalfactorsthatturnourgenes“on”and“off.”Thismeansthatourgenomeisnotfixed,butratherisaffectedbyourepigenome—ourdailyhabitsincludingfood,environment,movement,stresslevels,andevenourthoughts.Sincethediscoveryofthehumangenome,we’velearnedthatfewofthesinglenucleotidepolymorphisms(SNPs)towardwhichwe’vedirectedsomuchofourattentionwiththehopesthattheywouldprovidetheclinicalanswers,matter.It’sthefactorsthatbathe,surroundorinfluencethosegeneticvariants,inotherwords,theepigenetics,thathavetherealclinicalimpact.Lunchmatters.Bedtimematters.Communityandconnectionmatter.Andtheyallmatterinuniquewaysforeachofus.Bio-individualsolutionsarenecessary,andtheirimple-mentationwillrequireanewtypeofpractitioner.Onethatyoucanbecome.

OM IN OMICS

Om(orAum)isconsideredthemostelementalofvibrationsinSanskrit.It’schantedasamantraor“soundtool”thatmanyofusassociatewiththepracticeofyoga,vocalizedatthebeginningorendofclassorpractice.

FUNCTIONAL NUTRITION IS THE METHODOLOGY

FOR THE IMMEDIATE IMPLEMENTATION OF WHAT

SCIENCE IS ILLUMINATING FOR US.


21


Thesounditself,priortotheappointmentofmeaning,resonatesindifferentpartsofthebodyandmind,elicitingactualinteractionsorevents.Dr.BruceH.Lipton,authorofthepivotalbookThe Biology of Belief,saysthatthisisbecausewelistenandfeelwitheverycellinourbody.

InheadliningtheOminOmics,I’msuggestingthatwedon’thavetimetowaitforthescientificresearchtotrickledowntothelevelofhumaninteractionandgiveuspermissiontointervene.I’mproposingthatwetakeourknowledgeofthatfieldofstudy,alongwiththatofPrecisionMedicineandEpigenetics,intotheeveryday—intoourclinics,ourcoun-seling,ourcoaching,ourteachingandourhomes.Andthatwedosonow.

Omics,thepracticeofchantingOm,andeventhemeaningofthesyllableOmallrecognizethat,onceagain,everythingisinterconnected.Allpiecesaretrue,butpartial.Moretruthexistsinthecomposite.AndthemorewecangleanthroughourclinicalAssessments,thebetterequippedwearetoofferdailycareandsupportthatmovestowardsanewmodelofhealthcare.Itonlytakesanappreciationandacceptanceoftherealitythateverything inside of you and around you matters.Weeachhavethepowertohelpendthepainandsufferingthatmanypeoplefeelintheirbodiestoday.

Weeachplayarole.

Goahead,closeyoureyes,chantOm(Aum)deepinyourthroat3times,inhalingbetweeneachintonation,andlet’sfilltheGAPSandfindbothremedyandresolution.


2222

It’simportanttoestablishthatwhenthereisanewneed,itdoesnotservetocondemntheoldmodel.Infact,ourhealthcaresystemhasgottenbetteratsavinglivesandfixingacutecareissues.IknowwithoutquestionthatIwouldn’twanttochangeanythinginthoseadvancements.Theupgradesinmodernmedicinearemiraculous!

Yetaswe’vegottenfurtherandfurtherintothetechnicaladvances—simulatorstohelpsurgeonswithpatientsontheoperatingtable,morereliableartificialorgansandlimbs,injectionsformoremedicalpredic-amentsinregionsofthebodywedidn’tpreviouslybelievepossibletoinoculate—weseemtohaveleftsomepatientsbythewayside.

Thepeoplewhoaren’tbeinghelpedbythemiraculousmedicaladvancementsarethechronicallyill.Thispopulationisstillsuffering.Andgrowing.Quickly!

SUPPLY AND DEMAND

It’sacaseofsupplyanddemand.

Thereisademandforatypeofpractitionerwhocanservethispopu-lationofchronicallyillwhohavefallenintotheGAPSinthecurrent

Where you fit part 3

“Service is another part of the Healing Bubble. Dedicating our lives to serving the world connects us to one another and reminds us to focus on something bigger than ourselves.”

LISSA RANKIN, MD

23


model.Ademandfar greater thanthecurrentsupply.PatientsandpractitionersalikearecryingoutforskilledclinicianswhocanfilltheseGAPS.

ThisnewtypeofpractitioneriswhatIposityoucanbecome.Whetheryou’realreadyalicensedhealthcareproviderornot,trainingin

FunctionalNutritionwillgiveyouthetoolstosuccessfullymakerecommendationsregardingthemodifiabledietandlifestylefactorstoaddresstheinternalterrainoftheclient—thebiologicalenvironmentin

whichtheirdis-easetookroot.Workingwithempathy,educatingthepatientaboutwhat’s going onintheirbodyandwhymakingnutritionandlifestylechangeswillshifttheirhealthoutcomes,FunctionalNutritionCounselorsandProvidersempowerthepatienttotakeownershipoftheirownhealth.

Tobeclear,thedemandisforapractitionerwithaparticularskillset.Coaches,practitioners,andproviderswithmyriadbackgroundscanaddthisskillsettotheirpractice.ForeaseandsimplicityintheremainderofthisRoadmap,Iwillrefertothisin-demandpractitionerasaFunctionalNutritionCounselor,butknowthatthistermincludesnurses,naturopaths,acupuncturists,healthcoaches,physician’sassistants,medicaldoctorsandotherswhochoosetoaddFunctionalNutritiontoyourpracticesinordertofilltheGAPSinhealthcare.

Thisispreciselywhyweneedyou.Nomatteryourbackground,yourscope,orwhereyoulive,thisisanapproach,awayofthinkingandempoweringthepatient—eachfromourdifferentareasofand

THE DEMAND FOR FUNCTIONAL

NUTRITION COUNSELORS IS FAR

GREATER THAN THE CURRENT SUPPLY.




24


possibilitiesforcare.WhileFunctionalNutritionisnot(yet)aboardcertification,theproblemdemandsthatwecannotwaitforthat.

IT’S NOBODY’S FAULT .. . BUT

Wemustacceptthatthecurrentmedicalmodeldoesnotalwaysknowhowtoassessortreatchronicconditions.Thepractitionerswe’relookingtodidn’tnecessarilylearnhow.Infact,themodelthat‘makessomethinggoaway’or‘fixes’—treatingthingslikeaninfectionorbrokenarm—doesn’toftenworkforchronicconditionslikeautoim-munity.Wecan’tapplythesamestandardofcareforbothacuteandchronicailments,andthatbringsusbacktothoseGAPS—toademandforsomethingnewinhealthcare.

Ifit’snottheFAULTofthecurrentmodel,ifwecan’tputourhandsonourhipsandwagourfingersindisgustfortheirgrossoversightbecause,well,theyjustdon’tknowanybetterandweren’ttrainedintheneededresolution,thenwhatdowedo?

Theyweren’ttaughthowtomitigateormodulateinsteadofmend.

Theytooare(understandably)overwhelmedbythegrowingnumbersofpatientswhojustcan’tbe“fixed.”

It’s not their fault, but it is OUR RESPONSIBILITY.

LikeFlorenceNightingale,itisourresponsibilitytoshifttheparadigmandlookathealthandhealingthroughanew,therapeuticandcollabo-rative,lens.

ThatlensincludesFunctionalNutritionandLifestyleModification.


25


InFunctionalNutrition,wedon’tneedadiagnosistobringcare.Infact,thediagnosisitselfisonlyonepartofthepuzzlebecause,asweknowfromthestudyofOmics,twopeoplegottothatsamediagnosisfordifferentreasons.Inmanycases,thediagnosisisjustthetippingpoint,whereapatternofsymptomsandbiomarkersaddeduptosuggestaname.

InFunctionalNutrition,ratherthandiagnosingandprescribing,wedeliverRecommendationsandRemedywithwhatweCANsee,withtheintercon-nectionsweunder-standthroughworkingwithboththetruthofthefullbodysystemsanddeepassessmentsthatenableustobetterassemblemorepiecesofthepatientpuzzle.Werecognizethattheconstellationofsymptomsapatientissufferingfromcanbeaddressed before they are even afforded a name. Andwithcarefulandbio-individualdietandlifestylechanges,it’spossiblethatthesymptomscanbealleviatedcompletely,avertingtheneedforadiagnosis.

Insteadoflabelingamysteriousconstellationofsymptomswithanumbrellaterm(IBS,fibromyalgia,dementia)or,worseyet,adismissalsyndromesuchasdepression,anxiety,“toomuchstress,”ortheolderterm“hysteria,”FunctionalNutritionpractitionersget to work.Wedetermine,eachfromourownscopeofpractice,whatwecandotobeinserviceofthepopulationthatissickandsuffering.Andmoreimpor-tantly,weaimtoservetheindividualwhoisjustnotgettingbetter.

WE RECOGNIZE THAT THE CONSTELLATION

OF SYMPTOMS A PATIENT IS SUFFERING

FROM CAN BE ADDRESSED BEFORE THEY

ARE EVEN AFFORDED A NAME.

26


THE ONLY PERMISSION YOU NEED IS YOUR OWN

ManyaspiringFunctionalNutritionCounselors—peoplelikeyouwhoarepassionateaboutmakingachangeinhealthcareandhelpingothersoutofsuffering—wonderwhattheyareallowedtodo.Iamoftenaskedquestionssuchas:

• HowcanIimplementFunctionalNutritionintomypracticeifI’mnotalreadyalicensedpractitioner?

• Iliveinaredstate.CanIpracticeFunctionalNutritionwithmyclients?

• I’malreadyaregisterednurse(orotherpractitioner,youfillintheblank),isitpossibleformetodothis?

Thesearegoodquestions.Youcertainlydon’twanttobeoutofyourscope,ortofindyourselfinalegalbind.

Patientsareactually tryingtodothisontheirown.

Yet when you’re a patient, when you’re in the weeds, it’s helpful to have a guide. InFunctionalNutrition,wearenotpracticingmedicine.Insteadweareempoweringtheindividualswhoseekourhelpthrougheducation—theeducationabouttheirbodiesthathelpsthemtomakethedailychoicesthathavethepotentialtomitigateorevenresolvetheirhealthissues.Andyoucanplaythisrole,inyouruniquelyqualifiedway,nomatteryourbackground,orwhereyoulive.Icanshowyouhow.Andtogether,withthethousandsofotherpractitionersaroundtheglobetrainedinFunctionalNutritionmethodologies,weworkfromourindi-vidualscopestomakethechangethatthisunderservedpopulationisdemanding.

27


Soifyou’reaskingyourself…

Am I allowed to recommend eating organic to lower a patient’s allostatic load?

Am I allowed to have someone track their food intake to determine if they are consuming a variety of colors and anti-oxidants, enough to help offset their inflammation?

Am I allowed to speak to someone about their sleep hygiene and the importance of sleep in their struggles with resistant weight loss or through their current antibiotic treatment?

Am I allowed to help someone to use their voice to ask their doctor for the right lab tests for their thyroid when they are on medication but still not getting better?

Am I allowed to advocate for an elimination diet when digestive issues are just not improving?

Yes,youcan.EspeciallyifyouunderstandWHYyoumightofferthesupport,guidance,encouragementandcounselingthatenablesyoutobotheducateandTrackanindividual’sprogress.ThisiswhatFunctionalNutritionLabteachesyoutodo.

Whatwecaneachdo,again,dependsonourlicensureorscopethatwebringtothepracticeofFunctionalNutrition—butweeachhavearole.Andweeachhavearesponsibility.Tobringresolutiontothispopula-tion,weneedyourhelp,ifyouaretrulycalledtodoso.Thedemandishighandwe’renotfillingit.Yet.


28


THE 36 HOLES IN THE ROOF

Severalyearsago,IattendedtheClevelandClinicGrandRoundswherecelebratedresearcherDr.DaleBredesenspokeaboutthereversalofcognitivedeclineassociatedwithAlzheimer’sDisease.Whathesharedappliestoallhealthissues,anditputsus—youandmeandeveryoneinterestedinusing‘foodasmedicine’tohelppeopleoutofsuffering—attheapexofthesolution.

Dr.BredesenspokeaboutthemistakethemedicalcommunityhasbeenmakinginregardstoAlzheimer’s—tryingtotargetthediseasewithonesingleagent.JustlikethereversalofAIDSrequiresa“cocktail”therapy,hesaidAlzheimer’salsorequiresamany-prongedapproach.That’sbecauseAlzheimer’sismultifactorial.Ithasmanyunderlyingcauses,andweneedtotakeapersonalizedapproachtotargetalloftherootcausesofthecondition.

Inotherwords,weneedtotakeaFunctionalapproach!

Dr.BredesenwentontocompareAlzheimer’stohaving(upto)36holesinaroof…


29


Youcan’tjustplugoneholeandexpecttheproblemtoresolve.Instead,resolutioncomeswhenweplugmultipleholes.

Andhere’swhereyoucomein...

WhatDr.Bredesenfoundinhisresearchwasthatplugginghalftheholescanleadtocompletereversalofsymptoms.Again,oneholeisn’tenough.Manyholesmakeadifference!It’swhenDr.Bredesensaidthisthatmyearsperkedup.Doyouknowwhy?

BecauseasaFunctionalNutritionCounselor,you’reabletousedietandlifestylemodificationtoplugsomanyoftheholesthatDr.Bredesenidentifiedasrelatedtocognitivedecline.Andremember,Alzheimersandcognitivedeclineisjustanexample.Thismulti-prongedapproachworksforallchronichealthconditions.Primarilybecausemost,ifnotall,chronicconditionsaremultifactorial.

I’mexcitedtoshowyouhowthisapproachtranslatestoautoimmunity.

3 ROOTS, MANY BRANCHES

Ioftenfindmyselfstrugglingwiththeconceptof“rootcauseresolu-tion.”Thistermisthrownaroundalotthesedays,andthedilemmaisthatitgivestheillusionthatthereisone,singularroottoanindi-vidual’ssuffering.Becauseofthis,patientsandpractitionersalikearenowsearchingfortheroot,asifit’sthenewquick-fixtotheirproblems.

YetasDr.Bredesenarticulated,chronicconditionsrarelyhaveoneroot.ForAlzheimer’stheremaybe36roots.AndwhatI’vedetermined,fortheworkthatweasFunctionalNutritionCounselorsdo,isthattherearethree.Threeroots.

THE THREE ROOTS INCLUDE:

• GENES

• DIGESTION

• INFLAMMATION

30


Buttherearemanybranches.

Andthesethreerootshavemanyfactorsthatenableustoconsiderournextstepsincare.ThesethreerootsallowustohoneourAssessments,askmoreoftherightquestions,andensurethatnostoneisunturnedinourRecommendationsontheroadtoresolution.

Thesethreeroots,whenaddressed,willaffectthemanybranchesthatarebeingfed(orstarved)bythoseroots.

Soiftherootsarethegenes,thedigestionandinflammation.Whatarethebranches?

Thosebranchesincludeanysign,symptom,andeventhediagnosisitself.Anemia?Abranch.Fatigue?Abranch.Insomnia? Abranch.Hashimoto’s?Abranch.Migraines?Abranch.Acne?Abranch.Eczema?Youguessedit.

Giveitatry.Thinkofasymptom,onethatyou’vehadoronethatyouseeaclientorpatientstrugglingtoresolve.Isitarootorabranch?

Three roots, many branches.ThisismyMantra.(Oneofmany,asyou’lllearnifyoujoinmeforourFunctionalNutritionimmersionprogram!)AndIwanttomakesureyouchantthis,too.Everytimeyouaresittingwithaclientorpatientwhoisjustnotgettingbetter…

Three roots, many branches.Remember that while there are thousands of symptoms, there are primarily three roots that we as Functional Nutrition Counselors can effectively work with to yield the outcomes that we and our clients desire.

AndIhavemoregoodnewsforyou…

Eachofthosethreerootslivesinsoil.Justliketreatingthesoilwillaffectthehealthoftheplantsortreesgrowingthere,wecanhelpourclientsfindresolutionfromtheirhealthissuesbyaddressingtheir soil.

31


Thisistheterraininwhichtherootsoftheirillnessgrew.Andwhenweshiftit,healthshiftstoo.Asyoucanseeinthegraphicabove,eachofourthreerootsislargelyimpactedbyfourfactors.ThesearethefourfactorsthatI’meagertoshowyouhowtoinfluenceinyourclientcare.

Remember: It’s the soil that Functional Nutrition Counselors are uniquely equipped to address. That’s our next step in manifesting the change we all desire and putting this mantra to practice.

DIGESTION

chemical

stru

ctu

ral

me

ch

an

ica

l

GENES

environment

food

mo

vem

en

t min

dse

t

INFLAMMATION

enhance

clear

mo

du

late c

alm

microbial


32

We’veestablishedwithout a doubtthat:

Healthcare is in crisis

This crisis is due to several GAPS in the current model

People (maybe you, your friends, family members, clients or patients) are suffering because of these GAPS

There is a new type of practitioner who can fill these GAPS, alleviating the suffering of millions of people across the globe

With the right training, you can become this practitioner, no matter your current scope of practice (there is

something you can do to help!)

What now? part 4

“ People don’t move into action because of statistics. They move because of their hearts. We’re hardwired with empathy neurons, billions of them, and human beings are evolutionarily programmed to help one another.”

RIVERA SUN

33


Ofcourse,onepractitionercannotshifttheentiretideofhealthcare.Wemustbandtogether,creatinganarmyofpractitionersinserviceofthegreatergood.

IfIgobacktotheconclusionsIwasstartingtodrawatthebeginningofthisjourney:

• Everythingisconnected.• Weareallunique.• Allthingsmatter.

WeknowfromOmicsthatnothinginbiologyissingular,segregatedordeterministic.

WeknowfromPrecisionMedicinethatindividualizedinterventionsarewhatworkbest.

AndweknowfromEpigeneticsthatthefactorsthatinfluenceourgeneticexpressionmattermorethanthegenesthemselves.

FunctionalNutritionintegratesthese3scientifictruths,givingyoupracticaltoolstohelpanyone who walks in your door.

Good news!

I’ve created an exclusive video training for you.

34


THE CONNECTOME

Theconnectomeshowsusamapofneuralnetworks.Again,they’reallconnected.Andjustlikethat,Iamconnectedtoyou.Andyouareconnectedtothesolution.Butyouandthesolutionwillnotfunctioninisolation.

Startwiththisfreevideoseries.Andtogetherwe’llcreateanetworkofchange.

STAY CONNECTED!

STAY INFORMED!

Listen to the 15-Minute Matrix Podcast

Read the Functional Nutrition Lab blog

Roadmap to Resolution Video TrainingYou’ll learn:

• Why now more than ever patients are searching for Functional Nutrition Counselors.

• The 3 roots of chronic illness and the formula for addressing them.

• Key factors to focus on with each client, no matter their diagnosis.

• Where to find a community to support your success every step of the way.

ACCESS THE EXCLUSIVE TRAINING THAT PAIRS WITH THIS EBOOK!

https://www.linkedin.com/company/replenish-pdx/

https://www.facebook.com/FunctionalNutritionLab/

https://www.instagram.com/functionalnutritionalliance/

https://twitter.com/AndreaNakayama

http://bit.ly/15mmroadmap

http://bit.ly/fnlblogroadmap

http://bit.ly/roadmaptorootsvideoseries

35


AndreaisaFunctionalMedicineNutritionistandeducator,leadingthousandsofclients,studentsandpractitionersaroundtheworldinarevolutionreclaimingownershipovertheirownhealth.SheistheFounderandCEOofbothFunctionalNutritionLab,herschoolforpractitioners,andtheFunctionalNutritionAlliance,whichservespatientsfromacrosstheglobe.Andrea’spassionforfoodaspersonalizedmedicinewasbornfromthelossofheryounghusbandtoabraintumorin2002.She’snowregularlyconsultedasthenutritionexpertforthetoughest

clinicalcasesinthepracticesofmanyworld-renowneddoctors,andshetrainsthousandsofpractitionerseachyearinhermethodologiesatFunctionalNutritionLabsothattheytoocanbecomethelaststopfortheirclientsandpatientsaswellasatrustedreferralpartnerfordoctorsintheirarea.

About Andrea

JOIN ME FOR A FREE TRAINING

http://bit.ly/roadmaptorootsvideoseries

36


References

AmericanAutoimmuneRelatedDiseasesAssociation,Inc.“AutoimmuneDiseaseList”.https://www.aarda.org/diseaselist/.AccessedJuly2019.

AmericanAutoimmuneRelatedDiseasesAssociation,Inc.“WomenandAutoimmunity”,https://www.aarda.org/who-we-help/patients/women-and-autoimmunity/.AccessedJuly2019.

AmericanAutoimmuneRelatedDiseasesAssociation,Inc.“AutoimmuneDiseaseStatistics”.https://www.aarda.org/news-information/statistics/.AccessedJuly2019.

AmericanAutoimmuneRelatedDiseasesAssociation,Inc.“NewsBriefingforAutoimmuneDiseaseRelatedAwarenessMonth2014,”https://www.aarda.org.AccessedJuly2019.

Blendon,RobertJ.,Benson,JohnM.,Hero,JoachimO.“PublicTrustinPhysicians-U.S.MedicineinInternationalPerspective”,NewEnglandJournalofMedicineOct23,2014.

MarianneRosendal,TimCOldeHartman,AaseAamland,HenriettevanderHorst,PeterLucassen,AnnaBudtz-Lilly,ChristopherBurton“Medically unexplained” symptoms and symptom disorders in primary care: prognosis-based recognition and classification”BMCFamilyPractice.2017;18:18.

NationalInstitutesofHealth:OfficeofResearchonWomen’sHealth,NIHRevitalizationActof1993https://orwh.od.nih.gov/research/resources

https://www.aarda.org/who-we-help/patients/women-and-autoimmunity/

https://www.aarda.org

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297117/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297117/

https://orwh.od.nih.gov/research/resources

roadmap to resolution - fxnutrition.com · roadmap to resolution | andrea nakayama 2. there was no...

Documents