“ Functional medicine is patient-centered health care that addresses the unique interactions among genetic, environmental, and lifestyle factors influencing both health and complex, chronic disease.”

FALL 2007

New!

INFORMATION

INSPIRATION

INTEGRATION

INSTITUTE FOR FUNCTIONAL MEDICINE • 4411 PT. FOSDICK DR. NW • GIG HARBOR, WA 98335 • 800.228.0622 • WWW.FUNCTIONALMEDICINE.ORG

Dear Friends and Colleagues,Welcome to the inaugural issue of Functional Medicine INSPIRER—a newsletter for all of us who are passionately working to develop, learn, and practice a new model of medicine for the 21st century. We’ve organized this newsletter along the IFM themes of Information, Inspiration, Integration. In each issue you’ll find: • updates on IFM educational programs (see our fall Webinar schedule on page 3); • functional medicine practice models and our clinician’s corner; • clinical pearls to assist you with integrating functional medicine in your practices; • a letter from me highlighting IFM news; and • calendars and order forms for quick reference. We hope you find this newsletter to be informative, inspiring, and applicable to your clinical practices. Your feedback is welcome, so please let us hear from you.The 14th International Symposium on Functional Medicine, 21st Century Endocrinology: Thyroid and Adrenal as Sentinel Organs, held this past May in Tucson, Arizona, was a fantastic success with our largest number of participants to date. For the first time, we asked faculty, clinicians, and medical writers to compile and review clinical pearls from each plenary presentation and concurrent session. As an added benefit for IFM members, Symposium attendees, and purchasers of Symposium program materials, we are sending out these 14th Symposium Clinical Pearls for use in your practices. We’ve included a few snippets from our comprehensive list in the Integration section of this newsletter (see page 3). We’re also thrilled to announce another first-time accomplishment: Five of the Symposium talks have been synched together—the PowerPoint slides and the audio are integrated in one multimedia presentation. Check out page 2 for descriptions of these talks and information on ordering them.Another milestone ... Jane Murray, MD, and I will be presenting three workshops at the upcoming American Academy of Family Practice Scientific Assembly in Chicago on October 3–4. Our workshops will present functional medicine as a new model for chronic disease. We’re looking forward to this opportunity to expand the reach of functional medicine.We know that many of you are very active in your communities and professional networks, helping to spread the word about functional medicine. Please let us hear about your activities. We now have a variety of materials and presentations to help support you with your advocacy work, and we’d like to keep abreast of the efforts being made to introduce functional medicine to clinics, hospitals, governmental agencies, insurance companies and HMOs, medical and other health professions schools, and patients/consumers.Please consider joining us for AFMCP in Atlanta or Pasadena. Dates and locations are included in our calendar section.Yours in health,David S. Jones President, Institute for Functional Medicine

FUNCTIONAL MEDICINE

INSPIRERFUNCTIONAL MEDICINE

INSPIRERNew!

New! Fall Webinars

New! Synched Symposium Presentations

AFMCP Atlanta Pasadena

Letter from IFM President

Clinician’s Corner

SAVE THE DATE! 15th International Symposium La Costa Resort Carlsbad, CA May 22–25, 2008

14th International Symposium Clinical Pearls

INFORMATION

INSPIRATION

INTEGRATION

INFORMATIONNew! Synched Symposium Talks The 14th International Symposium on Functional Medicine provided a valuable opportunity to hear about the latest thyroid and adrenal strategies from respected researchers and experienced clinicians. IFM is proud to make five of these outstanding presentations available to view at home (slides and the audio are synched together in one multimedia presentation). See ORDER FORM on page 5 to purchase individual talks or the complete set.

21st Century Endocrinology Thyroid and Adrenal as Sentinel Organs

The Sentinel Role of Adrenal and Thyroid in Complex Chronic Illness – Jeffrey Bland, PhD, CNS

Alterations in hypothalamic-pituitary-adrenal (HPA) function do not define a disease, but rather an alteration in a systems biology outcome. The use of singular molecular interventions to manage individual symptoms is not the optimal long-term therapeutic approach for maximizing favorable outcomes

in these patients. Dr. Bland describes the best clinical approaches, which identify the origin of altered function and individualize the treatment to the patient’s needs.

Stressed to Death: Aging, Long-term Stress, and Allostatic Load – Sonia Lupien, PhD

Stress is a concept that has been written about in medical texts and bandied about in popular culture for the past half-century, and yet we’re still grappling with its meaning and consequences. Dr. Lupien’s work has been instrumental in

helping to quantify the effects of chronic stress on memory and other brain functions. This talk explores results from her research, which suggest that there might be a “time window” in human aging during which interventions with at-risk individuals achieve the most benefit to prevent or modify cognitive impairments.

Stress, Prenatal Imprinting, and Childhood Developmental Disorders – Bethany Hays, MDA growing body of evidence suggests that the most rapidly increasing adult chronic diseases are being “programmed” in utero. In this talk, Dr. Hays provides the current state of the science regarding prenatal imprinting and health risks. Her presentation will help you understand the potential effects of imprinting to help you identify important risk factors and improve patient care.

The Widening Web of Celiac Disease and Thyroid Dysfunction – Thomas O’Bryan, DC

Celiac disease is significantly underdiagnosed, as many people present without the GI symptoms most commonly thought to be associated. Dr. O’Bryan proposes that gluten sensitivity be viewed as a

multisystemic disorder, with celiac disease as an autoimmune manifestation of that disorder. In this presentation, he outlines the criteria that clinicians need to know in order to appropriately test and monitor for gluten sensitivity.

Thyroid Assessment: Controversies and Conundrums – Alan McDaniel, MDAbnormal thyroid dysfunction has been defined as a thyroid-stimulating hormone (TSH) level above the reference range. However, the correlation between thyroid symptoms and TSH levels is still unclear, and there are many reasons why relying on laboratory assessment alone may misinform the clinician. In this presentation, Dr. McDaniel explains the relationship of thyroid dysfunction to specific signs and symptoms, as well as the relative merits and pitfalls of specific laboratory evaluation.

IFM Fall Newsletter ~ page 2

BONUS INCLUDED ON EACH CD!Functional Medicine: Comprehensive Care for Complex Chronic Illness David Jones, MDChronic conditions are the leading cause of illness, death, and disability in the United States. But without a comprehensive, integrated model for the care of these complex illnesses, practitioners leave their patients’ needs unfulfilled. Discover how the functional medicine model allows an understanding of the patient’s complete story, providing a bridge to a more effective chronic-care model. Our gift to you!

For easy reference, here’s a summary of the Fall Webinars listed above.

Full Webinar descriptions are available at www.functionalmedicine.org/webinars.

OCTOBER 9 When Should You Recommend an Elimination Diet? Presenter: Diana Noland, RD, MPH, CCN Moderator: Dan Lukaczer, ND FREE Patient Handout: The Elimination Diet OCTOBER 16 TSH Tunnel Vision: Looking at the Whole Picture in Thyroid Dysfunction Presenter: Patrick Hanaway, MD Moderator: Dan Lukaczer, ND

OCTOBER 30 The Tip of the Iceberg: Recognizing Celiac Disease Presenter: Thomas O’Bryan, DC Moderator: Dan Lukaczer, ND FREE Clinician Handout: Celiac Disease Assessment Reference Sheet FREE Patient Handout: Dietary Guidelines for Celiac Disease

NOVEMBER 6 A 12-Step Program for Recovering Allopaths: The Functional Medicine Model Presenter: Mark Hyman, MD Moderator: David Jones, MD

NOVEMBER 13 Neuroprotection and Treatment: Supporting Regeneration, Slowing Degeneration? Presenter: Jay Lombard, DO Moderator: David Jones, MD FREE Gift: neurological exam hammer and 16 hours of CME (MDs/DOs only)

SPECIAL OFFERS on Functional Medicine Programs and Publications!We’re offering special pricing, free shipping, and registration passes/links to participate in our fall Webinar series. Special offers good between now and December 3, 2007. See Webinar descriptions below and ORDER FORM page 5.

How to Participate:

We look forward to your participation in an upcoming Webinar!

IFM Fall Newsletter ~ page 3

WEBINAR DESCRIPTIONS

Send an email to webinars@functionalmedicine.org, and we’ll email you the registration link for our complimentary Webinar on October 9, When Should You Recommend an Elimination Diet? Everyone is welcome to participate in this Webinar presented by Diana Noland, RD, MPH, CCN. FREE Patient Handout: The Elimination Diet

Purchase a copy of the Neuroprotection Self-Paced Clinical Module at $199 (list price $250), and we’ll email you the registration link to participate in the below-listed Webinar. Free shipping included.

November 6 5pm PST/8pm EST Neuroprotection and Treatment: Supporting Regeneration, Slowing Degeneration? Presenter: Jay Lombard, DO. FREE Gift: Neurological exam hammer and 16 hours of CME (MDs/DOs only).

Purchase a copy of Clinical Nutrition: A Functional Approach at $59.95 (list price $85), and we’ll email you the registration link to participate in the below-listed Webinar. Free shipping included.

October 30 Webinar 5pm PST/8pm EST The Tip of the Iceberg: Recognizing Celiac Disease Presenter: Thomas O’Bryan, DC. FREE Clinician Handout: Celiac Disease Assessment Reference SheetFREE Patient Handout: Dietary Guidelines for Celiac Disease

Purchase a copy of The Textbook of Functional Medicine at $165 (list price $189), and we’ll email you the registration links to participate in the following two webinars. Free shipping included. October 16 Webinar 5pm PST/8pm EST TSH Tunnel Vision: Looking at the Whole Picture in Thyroid Dysfunction Presenter: Patrick Hanaway, MD November 6 Webinar 5pm PST/8pm EST A 12-Step Program for Recovering Allopaths: The Functional Medicine Model Presenter: Mark Hyman, MD

W

WW

WW

Free Webinar!

To participate in upcoming Webinars, follow instructions below book images:

Questions? Call Eileen Hill, Client Services Manager, at 1.800.228.0622 or email ehill@fxmed.com. You can also use the ORDER FORM on page 5 to take advantage of these special offers.

Free!

INSPIRATION

IFM Fall Newsletter ~ page 4

BETHANY HAYS, MD, FACOG, is a board-certified obstetrician and gynecologist who trained at Baylor College of Medicine in Houston, Texas. She has had a career-long passion to find the best possible forms of healing and to incorporate them into her practice. Recently, that dream has come to a new level of realization in the opening of True North, A Center for Health and Healing in Falmouth, Maine. This unique integrative practice has been created by a group of practitioners of conventional and complementary modalities after nearly four years of dreaming and planning. Using circle

Clinician’s Cornerprocess, a non-hierarchical business and collaboration model, and the belief in the importance of reverent participatory relationships, True North is a model for health care in a changing environment. The addition of functional medicine to her practice has added a new dimension and new excitement for Dr. Hays, as well as a passion for the biochemistry she tried so hard to forget after the first year of medical school. She now claims to actually know the steroid pathway!

Are you practicing functional medicine? We’d like to include your story in this section.

Email Eileen Hill at ehill@fxmed.com

INTEGRATIONThe faculty and staff at IFM collected and compiled the most interesting and insightful clinical pearls. Below you will find just a few, which we hope will spur your interest in this field by providing practical tips for managing complex patients.

The full set of clinical pearls for the entire Symposium has just been sent to all IFM members, Symposium attendees, and purchasers of Symposium course materials.

From David Quig, PhD, on Laboratory Assessment of Iodine and Selenium • Do not give high-dose iodide without first checking selenium because insufficient selenium increases oxidative stress in the thyroid gland and increases the risk of autoimmune thyroiditis. • Red blood cell selenium provides a good indication of selenium status, but whole-blood selenium gives a more complete picture of selenoproteins.

From Stephen A. Hoption Cann, PhD, on Iodine Intake, Thyroid Function, and Cardiovascular Disease Risk • Almost 25% of women in the United States show evidence of iodine deficiency. • The high consumption of seafood in Japan is linked to the highest population intake of iodine. Their rates of coronary heart disease are remarkably lower than in the West, while life expectancy is higher. Iodine intake in excess of the RDA (150 mcg per day for adults) may offer significant benefits to cardiovascular function. • Following the initiation of iodine supplementation in deficient populations, there is a marked rise in thyroglobulin and TPO antibodies, found in autoimmune thyroiditis. Therapeutic use of selenium has been shown to decrease antibody concentrations Combined iodine and selenium may be indicated for many patients, and seafood is an excellent dietary source.

Symposium Clinical PearlsAt the recently completed 14th International Symposium on Functional Medicine, 21st Century Endocrinology—Thyroid and Adrenal as Sentinel Organs, we heard from a group of outstanding presenters who provided intriguing and practical views on the complicated issues of hypothalamic-adrenal-thyroid dysfunction.

SPECIAL OFFERS on Many Functional Medicine Educational Programs and Publications!We’re offering special pricing, free shipping, and registration passes to participate in our fall Webinar series. Special offers good between now and December 3, 2007. See page 3 for more details.

PUBLICATIONS Clinical Nutrition: A Functional Approach $85 $59.95 Purchase a copy at our special price and receive a FREE PASS to IFM’s October 30th Webinar with Thomas O’Bryan, DC.

Textbook of Functional Medicine Purchase a copy at our special price and receive FREE PASSES to TWO $189 $165 IFM Webinars, October 16th with Patrick Hanaway, MD, and November 6th with Mark Hyman, MD.

Neuroprotection: A Functional Medicine Approach to Common and Uncommon Neurologic Syndromes Self-Paced Clinical Module Purchase a copy at our special price and receive a FREE PASS to IFM’s $250 $199 November 13th Webinar with Jay Lombard, DO. Includes free neurological exam hammer and 16 hours of CME (MDs/DOs only).

14th International Symposium on Functional Medicine 21st Century Endocrinology: Thyroid and Adrenal as Sentinel OrgansSYNCHED TALKS: IFM is proud to make five of these outstanding presentations available to view at home (slides and audio are synched together in one multimedia presentation). The Sentinel Role of Adrenal and Thyroid in Complex Chronic Illness Jeffrey Bland, PhD, CNS $29.95 Stressed to Death: Aging, Long-term Stress, and Allostatic Load Sonia Lupien, PhD $29.95 Stress, Prenatal Imprinting, and Childhood Developmental Disorders Bethany Hays, MD $29.95 Thyroid Assessment: Controversies and Conundrums Alan McDaniel, MD $29.95 The Widening Web of Celiac Disease and Thyroid Dysfunction Thomas O’Bryan, DC $29.95 Combination Set of 5 CDs - all of the above 14th Symposium Presentations, includes Clinical Pearls $129.95PROCEEDINGS SETS 14th Symposium CD Combo (Plenary/Concurrent Audio CDs and Syllabus), includes Clinical Pearls $295 14th Symposium MP3 Combo (Plenary/Concurrent Audio MP3s and Syllabus), includes Clinical Pearls $195 14th Symposium Precourse CD Combo (Audio CDs and Syllabus), includes Clinical Pearls $185 14th Symposium Precourse MP3 Combo (Audio MP3s and Syllabus), includes Clinical Pearls $125

EDUCATIONAL PROGRAMS Applying Functional Medicine in Clinical Practice, Nov. 26–Dec. 1 Hyatt Regency Atlanta, GA $3,550 Physician Please contact us for member and Early Bird discounts. Ask about Pasadena dates. $2,500 Non-Physician ANNUAL MEMBERSHIP Includes many benefits and discounts on educational programs and publications $295

ORDER FORM PRODUCT Special

Price

FREE SHIPPING

W

W

W

W

FREE SHIPPING

TOTAL DUE $ ________________

MasterCard Visa AmEx Signature______________________________________________

Credit Card Number _____________________________3-­Digit  Verification  Code________    Exp.  Date _____________

Name _______________________________________________________________________________________________

Address _____________________________________________________________________________________________

City __________________________________________________State ___________ ZIP Code ______________________

Email ________________________________________________Telephone _____________________________________

(We MUST have your email address to send you the link to access the Webinars.)

FREE SHIPPING

Fax or mail your

order today.

Thank you!

FREE SHIPPING

Source code NWLTR1

List Price

The Institute for Functional Medicine

4411 Pt. Fosdick Dr. NW, Suite 305

Gig Harbor, WA 98335

800.228.0622 FAX: 253.853.6766

Nonprofit  Org

U.S. Postage Pd

Tacoma, WA

Permit #1347

4411 Pt. Fosdick Dr. NW, Suite 305

Gig Harbor, WA 98335

800-228-0622

Announcing Our Fall Webinar ScheduleNew!

OCTOBER 9 When Should You Recommend an Elimination Diet? Presenter: Diana Noland, RD, MPH, CCN Moderator: Dan Lukaczer, ND OCTOBER 16 TSH Tunnel Vision: Looking at the Whole Picture in Thyroid Dysfunction Presenter: Patrick Hanaway, MD Moderator: Dan Lukaczer, NDOCTOBER 30 The Tip of the Iceberg: Recognizing Celiac Disease Presenter: Thomas O’Bryan, DC Moderator: Dan Lukaczer, NDNOVEMBER 6 A 12-Step Program for Recovering Allopaths: The Functional Medicine Model Presenter: Mark Hyman, MD Moderator: David Jones, MDNOVEMBER 13 Neuroprotection and Treatment: Supporting Regeneration, Slowing Degeneration? Presenter: Jay Lombard, DO Moderator: David Jones, MD

WW

WW

W

Specials on IFM publications

include discounts, free shipping, and passes to

Webinars.

Details inside...

AFMCP ►  November 26–December 1, 2007 (Atlanta, GA) Join us!

Early Bird Registration Date: October 12, 2007

http://www.functionalmedicine.org/eduprog/afmcp_reg.asp

1.800.228.0622

Printed on acid- free recycled post- consumer paper using soy- based inks. We encourage you to share this newsletter and recycle.

Your source for functional medicine information!A  Nonprofit  Educational  Organization

Welcome to the inaugural issue of Functional Medicine INSPIRER