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Objectives 
You will be able to 
 1. State the benefits of using an Integrative Nutrition 
Model 
 2. Describe the five key areas that impact, and are 
impacted by, the biological information that food, 
nutrients, and herbs provide. 
 3. Review case examples
The Common Condition
Our Integrative Center
4 Pillars of Wellness
Take a Trip to the Moon
What does it mean? 
collaborative 
Integrative 
little bit of “everything”
Integrative Nutrition 
Optimal 
Wellness 
Disease 
Prevention 
Disease 
Treatment 
No 
deficiency
Integrative Nutrition 
Evidence-based Collaborative 
Compassionate 
Holistic Personalized
What about 
Functional? 
What is “functional 
nutrition?”
IFM’s 
Functional 
Medicine Tree 
http://www.functionalmedicine.org/getstarted/resources/
What is Functional Medicine/Nutrition? 
Functional Medicine 
 addresses the underlying causes of disease using 
a systems-oriented approach not just treating 
symptoms 
 engages both patient and practitioner in a 
therapeutic partnership 
 involves understanding the origins, prevention, 
and treatment of complex, chronic disease.
Hallmarks of a functional approach include: 
Patient-centered care. 
 Promotes health as a positive vitality; not just the absence of disease. 
 Listen to the patient’s story, tailors treatments that address the individual’s unique 
needs. 
An integrative, science-based healthcare approach 
 Look “upstream” to consider the patient’s history, physiology, and lifestyle that can 
lead to illness. 
 Consider the unique genetic makeup of each patient, along with both internal (mind, 
body, and spirit) and external (physical and social environment) factors that affect total 
functioning. 
Integrating best medical practices. 
 TraditionalWestern medical practices 
 “alternative” or “integrative” medicine, creating a focus on prevention 
through nutrition, diet, and exercise 
 use of the latest laboratory testing and other diagnostic techniques 
 prescribed combinations of drugs and/or botanical medicines, supplements, 
therapeutic diets, detoxification programs, or stress-management techniques. 
 Reference: http://www.functionalmedicine.org/about/whatisfm/
Nutrition is a critical component of 
Integrative and FunctionalMedicine! 
 Nutrition = a key part of prevention and a key part of 
therapy 
 Research is exploding in areas that link food, nutrients, 
herbs, nutrigenomics, and prevention and treatment of 
chronic conditions and disease states. 
 Consumer demand for more natural approaches 
to optimizing health, and a more holistic, person-centered 
and collaborative team management is 
driving the need for RDs to be skilled providers 
in Integrative Nutrition.
What differentiates an DIFM-RD? 
 Employs a systems assessment of a person’s biochemical 
individuality to develop a nutrition care plan 
 Includes information from emerging sciences such as 
nutritional genomics 
 Recognizes Client uniqueness 
 Focuses on addressing the root cause of disease 
and preventive care 
 Strives to help the client achieve optimal health, not just the 
absence of disease
“Food as Medicine” 
whole foods therapies 
 targeted supplements and 
mind/body modalities…. 
and is based firmly in the 
IntegrativeMedicine model.
Let’s learn about functional 
nutrition.
Chronic Pain 
 Nutrition – Foundational Eating Plan – Anti-Inflammatory 
 Function – Tart Cherry Juice, Salmon, Avocado, Flaxseed 
 Supplementation – Boswelia, Fish Oil, Turmeric 
 Adjunctive – Dry Needling, Yoga, Mindfulness Therapy, 
Neurac, Graston 
 Testing – HS-CRP, Cortisol, ESR
GI Issues 
 Nutrition – Foundational Eating Plan – 
Elimination/Immune Health Plan 
 Function – Kombucha, Kimchi, Miso, Artichokes, Greek 
Yogurt 
 Supplementation – Probiotics, DGL, Aloe, Marshmallow 
Root, L-Glutamine 
 Adjunctive – MBSR, Somatic Education, Massage, Yoga 
 Testing – SIBO, Food Sensitivities, HS-CRP
Obesity or Diabesity 
 Nutrition – Foundational Eating Plan – Hi Protein and Clean 
Foods 
 Function – Ceylon Cinnamon, Green Tea 
 Supplementation – Fenugreek, Multiple Vitamin, Alpha 
Lipoic Acid, 
 Adjunctive – Exercise, Yoga/Meditation 
 Testing – Insulin Response Test, TSH, Vitamin D
Sports Specific 
 Nutrition – Foundational Eating Plan – Individualized 
Fueling and Hydration Protocol 
 Function – Crystalized Ginger 
 Supplementation – Probiotics, DGL, Aloe, Marshmallow 
Root, L-Glutamine 
 Adjunctive – MBSR, Somatic Education, Massage, Yoga 
 Testing – SpectraCell Micronutrient Test, VO2 Max
Depression 
 Nutrition – Foundational Eating Plan – Tryptophan Rich 
Complex Carbs w. Protein 
 Function – Salmon, Avocado, Pumpkin Seeds, Black Berries, 
Saffron 
 Supplementation – SAMe, 5-HTP, B12, Vitamin D, 
Probiotics, Fish Oil 
 Adjunctive – Psychotherapy, Yoga, Neurac, Somatic 
Education, Exercise 
 Testing – Vitamin B12, Vitamin D, TSH, Iron
Resources 
 Institute for Functional Medicine. 
 Jeffery Bland, MD and Mark Hyman, MD 
 Center for Mind Body Medicine 
 James Gordon, MD 
 Dietitians in Integrative Functional Medicine 
 Kathie Madona Swift, MS, RD 
 Arizona Center for Integrative Medicine – University of 
Arizona (Integrative Medicine Fellowships) 
 Food as Medicine Conference

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Integrative Nutrition: Integrative Health Week 2014

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  • 2. Objectives You will be able to  1. State the benefits of using an Integrative Nutrition Model  2. Describe the five key areas that impact, and are impacted by, the biological information that food, nutrients, and herbs provide.  3. Review case examples
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  • 7. 4 Pillars of Wellness
  • 8. Take a Trip to the Moon
  • 9. What does it mean? collaborative Integrative little bit of “everything”
  • 10. Integrative Nutrition Optimal Wellness Disease Prevention Disease Treatment No deficiency
  • 11. Integrative Nutrition Evidence-based Collaborative Compassionate Holistic Personalized
  • 12. What about Functional? What is “functional nutrition?”
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  • 14. IFM’s Functional Medicine Tree http://www.functionalmedicine.org/getstarted/resources/
  • 15. What is Functional Medicine/Nutrition? Functional Medicine  addresses the underlying causes of disease using a systems-oriented approach not just treating symptoms  engages both patient and practitioner in a therapeutic partnership  involves understanding the origins, prevention, and treatment of complex, chronic disease.
  • 16. Hallmarks of a functional approach include: Patient-centered care.  Promotes health as a positive vitality; not just the absence of disease.  Listen to the patient’s story, tailors treatments that address the individual’s unique needs. An integrative, science-based healthcare approach  Look “upstream” to consider the patient’s history, physiology, and lifestyle that can lead to illness.  Consider the unique genetic makeup of each patient, along with both internal (mind, body, and spirit) and external (physical and social environment) factors that affect total functioning. Integrating best medical practices.  TraditionalWestern medical practices  “alternative” or “integrative” medicine, creating a focus on prevention through nutrition, diet, and exercise  use of the latest laboratory testing and other diagnostic techniques  prescribed combinations of drugs and/or botanical medicines, supplements, therapeutic diets, detoxification programs, or stress-management techniques.  Reference: http://www.functionalmedicine.org/about/whatisfm/
  • 17. Nutrition is a critical component of Integrative and FunctionalMedicine!  Nutrition = a key part of prevention and a key part of therapy  Research is exploding in areas that link food, nutrients, herbs, nutrigenomics, and prevention and treatment of chronic conditions and disease states.  Consumer demand for more natural approaches to optimizing health, and a more holistic, person-centered and collaborative team management is driving the need for RDs to be skilled providers in Integrative Nutrition.
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  • 19. What differentiates an DIFM-RD?  Employs a systems assessment of a person’s biochemical individuality to develop a nutrition care plan  Includes information from emerging sciences such as nutritional genomics  Recognizes Client uniqueness  Focuses on addressing the root cause of disease and preventive care  Strives to help the client achieve optimal health, not just the absence of disease
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  • 21. “Food as Medicine” whole foods therapies  targeted supplements and mind/body modalities…. and is based firmly in the IntegrativeMedicine model.
  • 22. Let’s learn about functional nutrition.
  • 23. Chronic Pain  Nutrition – Foundational Eating Plan – Anti-Inflammatory  Function – Tart Cherry Juice, Salmon, Avocado, Flaxseed  Supplementation – Boswelia, Fish Oil, Turmeric  Adjunctive – Dry Needling, Yoga, Mindfulness Therapy, Neurac, Graston  Testing – HS-CRP, Cortisol, ESR
  • 24. GI Issues  Nutrition – Foundational Eating Plan – Elimination/Immune Health Plan  Function – Kombucha, Kimchi, Miso, Artichokes, Greek Yogurt  Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine  Adjunctive – MBSR, Somatic Education, Massage, Yoga  Testing – SIBO, Food Sensitivities, HS-CRP
  • 25. Obesity or Diabesity  Nutrition – Foundational Eating Plan – Hi Protein and Clean Foods  Function – Ceylon Cinnamon, Green Tea  Supplementation – Fenugreek, Multiple Vitamin, Alpha Lipoic Acid,  Adjunctive – Exercise, Yoga/Meditation  Testing – Insulin Response Test, TSH, Vitamin D
  • 26. Sports Specific  Nutrition – Foundational Eating Plan – Individualized Fueling and Hydration Protocol  Function – Crystalized Ginger  Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine  Adjunctive – MBSR, Somatic Education, Massage, Yoga  Testing – SpectraCell Micronutrient Test, VO2 Max
  • 27. Depression  Nutrition – Foundational Eating Plan – Tryptophan Rich Complex Carbs w. Protein  Function – Salmon, Avocado, Pumpkin Seeds, Black Berries, Saffron  Supplementation – SAMe, 5-HTP, B12, Vitamin D, Probiotics, Fish Oil  Adjunctive – Psychotherapy, Yoga, Neurac, Somatic Education, Exercise  Testing – Vitamin B12, Vitamin D, TSH, Iron
  • 28. Resources  Institute for Functional Medicine.  Jeffery Bland, MD and Mark Hyman, MD  Center for Mind Body Medicine  James Gordon, MD  Dietitians in Integrative Functional Medicine  Kathie Madona Swift, MS, RD  Arizona Center for Integrative Medicine – University of Arizona (Integrative Medicine Fellowships)  Food as Medicine Conference

Editor's Notes

  1. Functional medicine formalizes this concept
  2. HC reform no longer accepts that chronic disease is just part of the common condition
  3. Story of the gauthiers
  4. Our goal is to make movement accessible to ALL of our clients
  5. Integrative a blending of modalities that follows the triple aim – PMH – aim at prevention Aimed at whole person – enhancing whole person for a better life – focus on person not disease Blends modalities – east/west or complimentary services mind body healing Looks at nutrition as common thread of imbalances
  6. Movement toward care that is habilitative. Optimal wellness mean we need to dig deeper.
  7. There is an emerging new specialty within the field of nutrition called Functional Nutrition. Just as Functional Medicine approaches the body from the perspective of treating the root cause of disease, Functional Nutrition looks at the foundational way that food affects your body on the cellular level. Food is much more than calories, in fact there are millions of molecules of information in every bite of food that you eat! These molecules come into your body, effect how your cells behave and how you feel. Food = Information that cells respond to
  8. It is more important to know what person has the disease than which disease the person has. —William Osler Patient Centered Care Motivational Interviewing When was the last time you felt well What is your wildest dream about your health Patient narrative The most powerful tool is the relationship that you create with your patient It is the functional medicine practitioner’s job to know not just the ailments or their diagnoses, but the physical and social environment in which sickness occurs, the dietary habits of the person who is sick (present diet and pre-illness diet), his beliefs about the illness, the impact of illness on social and psychological function, factors that aggravate or ameliorate symptoms, and factors that predispose to illness or facilitate recovery. This information is necessary for establishing a functional treatment plan
  9. Tell me what you eat, and I will tell you who you are. Jean Anthelme Brillat-Savarin
  10. In our practice… Lab based recs Consider the hx…autoimmune disease, CA Disease does not happen in a nut shell Habillitation
  11. Recommended Blood Panel in a New Chronic Pain Patient AM Cortisol Erythrocyte Sedimentation Rate (ESR) C-Reactive Protein