functional medicine

Iwan HH - FORTIS GLOBAL PHARMA 1

Functional MedicineTHE 21ST CENTURY MEDICINE


Conventional Medicine Conventional Medicine involves a system of diagnosis followed by an algorithmic approach to a treatment

Algorithm : “a finite set of well defined instructions for accomplishing some task which, given an initial state, will result in a corresponding recognizable end state.”

vs Functional Medicine…


Conventional Medicine



vs Conventional Medicine

Functional Medicine :… is a science-based, healthcare approach that assesses and treats underlying causes of illness through individually tailored therapies to restore health and improve function


vs Conventional Medicine

Functional Medicine :… is a science-based system of personalized medicine that focuses on the root causes of chronic illness and the correction of these underlying dysfunctions rather than treating symptoms


1. Science based medicine that connects the emerging research base to clinical practise

Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE

Scientific researchPhysiologyMechanismsInteractionsCase Studies

PharmaceuticalPlacebo controlled – double blind



2. Biochemical individuality based on genetic and environmental uniqueness


GeneticsNOT your destiny.Gene expression is variable and able to be manipulated.Genes determine our responses to specific environmental factors





EnvironmentChemical, spiritual and structural elements combine to influence your genetic expression.Manipulation of your environment can change the expression of your genes


ALCOHOL - SMOKING

STRESS POLLUTION

OTHER LIFESTYLES…

EATING HABITENVIRONMENT


STRESS ENVIRONMENT

Environment

“… we have been able to identify modifiable behavioral factors, including specific aspects of diet, overweight, inactivity, and smoking that account for over 70% of Stroke and Colon Cancer, over 80% of CHD, and over 90% of Adult-onset Diabetes”

Willet, WC Science, 2002:296. 659-97




3. Patient centered care rather than disease focused





3. Patient centered care rather than disease focused

4. Dynamic balance of Internal and External Factors

5. Weblike interconnetions of physiological processes



6. Promotion of organ reserve – healthspan… not just lifespan

7. Health as a positive vitality – not merely the absence of disease



GENETICS

LIFESTYLE

ENVIRONMENT

ICEBERG ANALOGY

The combinations of genetics, environmental inputs and lifestyle behaviorsare underlying factors that contribute to chronic symptoms and illness


SYMPTOMS

GENETICS

LIFESTYLE

ENVIRONMENT

ICEBERG ANALOGY

The combinations of genetics, environmental inputs and lifestyle behaviorsare underlying factors that CONTRIBUTE TO CHRONIC SYMPTOMS AND ILLNESS

ILLNESS


SYMPTOMS

GENETICS

LIFESTYLE

ENVIRONME

NT

ICEBERG ANALOGY

The combinations of genetics, environmental inputs and lifestyle behaviorsare underlying factors CAN MANIFEST AS VARIOUS SIGNS & SYMPTOMS

Weight Gain/ObesityConstipation/Diarrhea

Hearburn/IndigestionBloating/Nausea/GasMemory Loss/Brain Fog

Dpression/InsomniaStiffness

High Blood PressureIncreased Blood Sugar

Headaches/DizzinessSystemic InflammationFatigue/Weakness/Pain

Confusion/AnxietySwelling


SYMPTOMS

GENETICS

LIFESTYLE

ENVIRONME

NT

ICEBERG ANALOGYThe combinations of genetics, environmental inputs and lifestyle behaviors

are underlying factors THAT OVERTIME DEVELOP INTO CHRONIC DISEASE

Autoimmune DiseasesGastrointestinal Disease

Kidney & Bladder DiseaseMusculoskeletal DiseaseMental Illness

C a n c e r s

Heart & Lung DiseaseInsulin Resistance & DiabetesGallbladder & Liver Disease

Neurological DiseaseThyroid Disease

S t r o k e


SYMPTOMS

GENETICS

LIFESTYLE

ENVIRONME

NT

CONVENTIONAL MEDICINE DOCTORS typically prescribe mediations for symptoms –whereas FUNCTIONAL MEDICINE DOCTORS addresses the underlying factors of

dysfunction and disease and then treat the whole Patient

DIFFERENT APPROACHES

CONVENTIONAL MEDICINE DOCTORS treat symptoms with

medications

FUNCTIONAL MEDICINE DOCTORS treat the underlying

causes


CORE IMBALANCES & DYSFUCTIONS

o Hormonal and Neurotransmitter Imbalanceso Antioxidant imbalance and Mitochondrial

Functiono Immune and Inflammatory Imbalanceso Digestive, Absorptive, and Microbiological

Imbalanceso Nutritional Deficiencies and Imbalanceso Detoxification, biotransformation, and excretory

Imbalanceso Structural and Functional Imbalances


TOOLS OF THE TRADE

• Medical and Nutritional History• Physical Examination• Musculoskeletal and Structural

Assessment• Body Composition Assessment• Cardiovascular and Fitness

Assessment• Diagnostic Lab Tests• Customized Wellness Programs

Diagnostic Lab Tests

• Urinalysis• Blood Chemistry• Micronutrient Testing

(Vitamin Deficiencies)• Hormone Testing (Saliva,

Blood, or Urine)• Stool Analysis (Digestion,

Bacteria, Inflammation)• Toxin and Heavy Metal

Screening• Allergies and Food

Sensitivities• Oxidative Stress• Bone Loss


TOOLS OF THE TRADE

• Medical and Nutritional History• Physical Examination• Musculoskeletal and Structural

Assessment• Body Composition Assessment• Cardiovascular and Fitness

Assessment• Diagnostic Lab Tests• Customized Wellness Programs

Wellness ProgramsBased on the Patient’s history, examination and laboratory test findings, a customized wellness program is prescribed designed to correct the underlying dysfuctions using Dietary and Nutraceutical Protocols

The Wellness Program is the foundation to which other treatments can be added as needed such as detoxification, physical medicine, chiropractic care, acupuncture, exercise, stress management and more…


“The doctor of the future will give no medicine,but will interest his patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease.” Thomas Edison

functional medicine

Health & Medicine

patientiwan hh

environmental inputs

emerging research base

underlying causes of

chronic symptoms

underlying dysfunctions

wc science

lifestyle behaviors