Integrative Medicine: A Clinician’s Journal - October 2015
description
Transcript of Integrative Medicine: A Clinician’s Journal - October 2015
OCTOBER/NOVEMBER 2015 • VOL. 14 NO. 5
Integrative Medicine: A Clinician’s Journal
Integrative Therapies and Cardiovascular Disease in the Breast Cancer Population • Whole-person Integrative Eating: Treating Overeating, Overweight, and Obesity • Nutrition for Relief of Joint Discomfort • Research Battles: Survival Tips From a Veteran • Personalized Lifestyle Medicine Institute 2014 • Case Reports, Clinical Practice Guidelines, and Evidence • Bland—Functional Medicine: An Operating
System for Integrative Medicine • Presenters 2015—Dale E. Bredesen, MD: Reversing Cognitive Decline • Interview With Barbara Dossey, PhD, RN • Editorial—Conventional
Laboratory Tests to Assess Toxin Burden
800.662.2544 x1 | nordicnaturals.com
Committed to Delivering the World’s Safest, Most Effective Omega Oils™
* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
† Source: Lipids in Health and Disease, 2014
ProOmega® 2000Breakthrough Omega-3 Support
Nearly double the EPA+DHA of ProOmega®!
®
With nearly double the omega-3s of our best-selling ProOmega, ProOmega 2000 features a breakthrough omega-3 oil. Ultra-concentrated EPA+DHA in the highly absorbable, triglyceride molecular form. In a slightly larger soft gel, this powerful concentrate is ideal for patients requiring the highest levels of EPA and DHA.
2000 mg EPA+DHA per serving
Highest-concentration triglyceride-form omega oil
Unmatched support for heart, brain, immune health, and more*
Triglyceride form for up to 70% better absorption than ethyl ester omegas†
NEW!
Tel: 805.693.1802 • Fax: 805.693.1806 • CustomerService@ResearchedNutritionals.comwww.ResearchedNutritionals.com | Available only through healthcare professionals
CALL 800.755.3402
*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.
Complete Mitochondrial SupportATP Fuel®
ATP Fuel® starts with the base of our highly acclaimed NT Factor Energy™ phospholipid delivery system for mitochondrial membrane support. Stabilized NADH and CoEnzyme Q10 are incorporated to promote healthy Krebs output.
Lipid Replacement Therapy with a Glyco-
phospholipid Formulation with NADH and
CoQ10 Significantly Reduces Fatigue in
Intractable Chronic Fatiguing Illnesses and
Chronic Lyme Disease Patients
Garth L. Nicolson, Ph.D., Robert Settineri, M.S. and Rita Ellithorpe, M.D.
The International Journal of Clinical Medicine
ATP FUEL ®
Peer-Reviewed
Research Published May 2012
Glycophospholipid Formulation with NADH and CoQ10 Significantly Reduces Intractable
Fatigue in Western Blot-Positive ‘Chronic Lyme Disease’ Patients: Preliminary ReportGarth L. Nicolson, Ph.D., Robert Settineri, M.S. and Rita Ellithorpe, M.D.
The Journal of Functional Foods in Health and Disease
ATP FUEL ®
Peer-Reviewed
Research
Published March 28, 2012
Clinical Research
Presented at ILADS Annual ConferenceToronto, Ontario, Canada
ATP Fuel®
Joseph Burrascano Jr., MD“Due to the efficacy & purity of these products, these are some of my favorites”
PEER-REVIEWED PUBLISHED RESEARCH
Experience the only liposomal glutathione that you squeeze onto a teaspoon and enjoy. No need to mix in juice. Natural orange flavor & GMO-free.
HIGH DOSEEach serving offers:
• 450 mg of reduced glutathione• 50 mg of Vitamin C
HEAT STABLEWe contracted with a third party lab to subject Tri-Fortify™ Orange to the most extreme conditions: 104˚F and 75% humidity for 90 consecutive days. The result: product met and exceeded the nutrient content on the label.
Oral Liposomal Glutathione GelTri-Fortify™ Orange
G
MO FREE
DAIRY FREE
HE
AT STABL
E
VE G A N
VE
G ETA RIAN
DAIRY FREEG
MO FREE
VE G A N
HE
AT STABL
E
VE
G ETA RIAN
RE
FRIG ERATION
NO
G
MO FREE
DAIRY FREE
HE
AT STABL
E
VE G A N
VE
G ETA RIAN
DAIRY FREEG
MO FREE
VE G A N
HE
AT STABL
E
VE
G ETA RIAN
RE
FRIG ERATION
NO
G
MO FREE
DAIRY FREE
HE
AT STABL
E
VE G A N
VE
G ETA RIAN
DAIRY FREEG
MO FREE
VE G A N
HE
AT STABL
E
VE
G ETA RIAN
RE
FRIG ERATION
NO
Tel: 805.693.1802 • Fax: 805.693.1806 • CustomerService@ResearchedNutritionals.comwww.ResearchedNutritionals.com | Available only through healthcare professionals
CALL 800.755.3402
*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.
Joseph Burrascano Jr., MD“Due to the research basis of these formulations, I think these products would be an important part of a practitioner’s arsenal.”
Healthy Cytokine SupportCytoQuel™ has been developed to promote healthy cytokine activity. Based on the latest published research, CytoQuel™ offers doctors a valuable new tool in the quest for healthy inflammation levels.
Each capsule includes therapeutic levels of:
( N-acetyl cysteine (NAC) ( Black Tea Extract ( CurcuWIN™ tumeric extract ( Pure Tocotrienols (optimized absorption) ( Resveratrol (Natural Trans-Resveratrol)
Microbinate™ is formulated to promote a healthy response to today’s vast microbial challenges. Each capsule combines nature’s most potent and well-researched nutrients into one complete product with therapeutic levels of:
( Oregano Extract (30% carvacrol) ( Monolaurin ( Olive Leaf Extract ( Stabilized Allicin (the active ingredient in garlic) ( CurcuWIN™ tumeric extract
Microbial Health Complex
Microbial & CytokineSupport
Integrative Medicine • Vol. 14, No. 5 • October 2015 3Table of Contents
8 The Path Ahead—Conventional Laboratory Tests to Assess Toxin Burden Joseph Pizzorno, ND, Editor in Chief
18 Creating Synthesis—Functional Medicine: An Operating System for Integrative Medicine Jeffrey Bland, PhD, Associate Editor
78 Case Reports, Clinical Practice Guidelines, and Evidence David S. Riley, MD, Associate Editor
88 BackTalk—Quit Your Bellyaching Bill Benda, MD, Associate Editor
22 The Blue Zone Intersection: What Role for Integrative Health in Community Health? … plus more John Weeks
30 Research Battles: Survival Tips From a Veteran Linda L. Isaacs, MD
64 Personalized Lifestyle Medicine Institute, October 2014: A Seminal Moment in the 21st Century’s Transformation of Health Care Lara Pizzorno, MDiv, MA, LMT
33 Integrative Therapies and Cardiovascular Disease in the Breast Cancer Population: A Review, Part 2 Khara Lucius, ND, FABNO; Kristen Trukova, MS, RD, CSO, CNSC, LDN
42 Whole-person Integrative Eating: A Program for Treating Overeating, Overweight, and Obesity Deborah Kesten, MPH; Larry Scherwitz, PhD
52 Nutritional Approach for Relief of Joint Discomfort: A 12-week, Open-case Series and Illustrative Case Report Robert H. Lerman, MD, PhD; Jyh-Lurn Chang, PhD; Veera Konda, PhD; Anuradha Desai, PhD; Michael B. Montalto, PhD
26 Dale E. Bredesen, MD: Reversing Cognitive Decline Interview by Craig Gustafson
72 Barbara Dossey, PhD, RN: Developing a Healing Approach in Nursing Interview by Craig Gustafson
80 Conference Calendar
EDITORIALS
COMMENTARY
VIEWPOINTS
Integrative Medicine: A Clinician’s Journalwww.imjournal.com
October/November 2015 • Vol. 14 No. 5
REVIEW ARTICLE
PRESENTERS 2015
EPTHECA
CASE STUDY
ORIGINAL RESEARCH
Tel: 805.693.1802 • Fax: 805.693.1806 • CustomerService@ResearchedNutritionals.comwww.ResearchedNutritionals.com | Available only through healthcare professionals
CALL 800.755.3402
*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.
Joseph Burrascano Jr., MD“Due to the research basis of these formulations, I think these products would be an important part of a practitioner’s arsenal.”
Healthy Cytokine SupportCytoQuel™ has been developed to promote healthy cytokine activity. Based on the latest published research, CytoQuel™ offers doctors a valuable new tool in the quest for healthy inflammation levels.
Each capsule includes therapeutic levels of:
( N-acetyl cysteine (NAC) ( Black Tea Extract ( CurcuWIN™ tumeric extract ( Pure Tocotrienols (optimized absorption) ( Resveratrol (Natural Trans-Resveratrol)
Microbinate™ is formulated to promote a healthy response to today’s vast microbial challenges. Each capsule combines nature’s most potent and well-researched nutrients into one complete product with therapeutic levels of:
( Oregano Extract (30% carvacrol) ( Monolaurin ( Olive Leaf Extract ( Stabilized Allicin (the active ingredient in garlic) ( CurcuWIN™ tumeric extract
Microbial Health Complex
Microbial & CytokineSupport
Integrative Medicine • Vol. 14, No. 5 • October 20154 x
Editor in Chief Joseph Pizzorno, nd
IMCJ Associate Editors
Lise Alschuler, ND, FABNO ◆ Executive Director, TAP Integrative; Coprinciple, Thrivers; Clinician, Naturopathic Specialists
Jeremy Appleton, ND ◆ Nature’s Way Brands
Phillip Barr, MD ◆ Concierge Health Consultants
Donald M. Blair, DDS, ND ◆ Bellevue, WA
O’Dane Brady, DC, MSc ◆ World Spine Care
Andrew W. Campbell, MD ◆ Editor in Chief, Alternative Therapies in Health and Medicine
Alan R. Gaby, MD ◆ Concord, NH
Steve Given, DAOM, LAc ◆ American College of Traditional Chinese Medicine
Elizabeth A. Goldblatt, PhD, MPA/HA ◆ Academic Consortium of Complementary and Alternative Health Care (ACCAHC)
Patrick Hanaway, MD ◆ Cleveland Clinic
Mary L. Hardy, MD ◆ Stiles Integrative Oncology Program at UCLA; Wellness Works
Mark Hyman, MD ◆ Institute for Functional Medicine; The Center for Mind-Body Medicine; The UltraWellness Center
Loren D. Israelsen, JD ◆ President, United Natural Products Alliance
Clyde B. Jensen, PhD ◆ University of Western States; Oregon Collaborative for Integrative Medicine; Association of Health Sciences Colleges and Universities
Claire Johnson, DC, MSEd, DACBSP ◆ National University of Health Sciences
Herb Joiner-Bey, ND ◆ Barlean’s Organic Oils
Robert H. Lerman, MD, PhD ◆ Adjunct Associate Professor of Medicine, Boston University School of Medicine
DeAnn Liska, PhD ◆ Sr. Director Nutrition & Scientific Affairs, Biofortis Nutrition Research, a Merieux NutriSciences Company
Chongyun Liu, OMD, LAc ◆ Bastyr University
Rick Liva, ND, RPH ◆ Connecticut Center for Health; Vital Nutrients
Michael R. Lyon, MD ◆ Diplomate of the American Board of Obesity Medicine; Adjunct Professor, University of British Columbia; Food, Nutrition and Health Research Director, Canadian Center for Functional Medicine; Medical Director, Medical Weight Management Centre
Douglas MacKay, ND ◆ Senior Vice President, Scientific & Regulatory Affairs, Council for Responsible Nutrition
Antonio C. Martinez, II, JD ◆ Attorney at Law
Robert Martinez, ND, DC, DABCO ◆ Private Practice, Kirkland, WA
David Matteson, MPH, MS, MPA, APR ◆ Early Edge Solutions, Nativis
Gerard E. Mullin, MD ◆ Division of Gastroenterology and Hepatology, Johns Hopkins Hospital
Stephen P. Myers, ND, PhD, BMed, FACNEM ◆ Southern Cross University, Australia
Paula J. Nenn, MD, ABIHM, MRCP(UK) ◆ States of Jersey, Department of Medicine; University of Southampton
David Perlmutter, MD, FACN, ABIHM ◆ Perlmutter Health Center
Lara Pizzorno, MA (Div), MA (Lit), LMT ◆ Editor, Longevity Medicine Review; Integrative Medicine Advisors, LLC; Salugenecists, Inc
Ronald G. Reichert, ND ◆ Boucher Institute of Naturopathic Medicine; Bioclinic Naturals
Corey Resnick, ND ◆ Integrative Health & Nutrition; Integrative Therapeutics
Jacob Schor, ND, FABNO ◆ Denver Naturopathic Clinic; Fellow, American Board of Naturopathic Oncology; Associate Editor, The Natural Medicine Journal; Board Member and Past President, Oncology Association of Naturopathic Physicians
Vivek Shanbhag, ND, MD(Ayur) ◆ YogaAyurveda.org; Natural Medicine Clinic & Academy; Adjunct Faculty, Bastyr University & MMI Ayurveda College
Andrew David Shiller, MD ◆ Integrative Rehabilitation Medicine, Suffern, NY; The Valley Hospital, Ridgewood, NJ
Pamela Snider, ND, PhND(Hon) ◆ Executive and Senior Editor, Foundations of Naturopathic Medicine Project; Associate Editor, National College of Natural Medicine; Adjunct Faculty, Bastyr University
Nancy Sudak, MD, ABIHM ◆ Academy of Integrative Health & Medicine
Kathie Madonna Swift, MS, RDN, LDN, FAND ◆ Saybrook University School of Mind Body Medicine; Dietitians in Integrative and Functional Medicine
Melvyn R. Werbach, MD ◆ Tarzana, CA
Jonathan V. Wright, MD ◆ Tahoma Clinic
IMCJ Editorial Board
Statement of PurposeIntegrative Medicine: A Clinician’s Journal® provides clinicians with peer-reviewed, scientifically accurate, practical information about the integration of conventional and natural medicine. Integrative Medicine: A Clinician’s Journal is indexed in CINAHL. The views expressed in this journal are those of the authors and not necessarily those of the publisher or its advertisers. Integrative Medicine: A Clinician’s Journal® (ISSN 1546-993X) is published 6 times per year (in February, April, June, August, October, and December) by InnoVision Professional Media, Copyright ©2015. Cover image used under license from Shutterstock.com, 2015 All rights reserved. No part of this publication may be reproduced in any medium or photocopied without written permission from the publisher. Individual subscriptions to Integrative Medicine: A Clinician’s Journal must be prepaid in US dollars only and are available for $85 for one year. To order or for subscription address changes, write, fax, or call: Integrative Medicine: A Clinician’s Journal, PO Box 11292, St. Paul, MN 55111 • Toll Free: (877) 904-7951 • Phone: ( 651) 251-9684
Sidney MacDonald Baker, MD Autism Research Institute
Bill Benda, MD, FAAEM Senior Graduate Fellow, Program in Integrative
Medicine, University of Arizona;St. Mary's Medical Center in West Palm Beach, FL
Jeffrey Bland, PhD, FACN, FACB Cofounder, Institute for Functional Medicine;
Founder, Personalized Lifestyle Medicine Institute
Tori Hudson, ND Medical Director, A Woman’s Time; Program Director, Institute of Women’s Health and Integrative Medicine;
Research/Education Director, Vitanica
Jennifer C. Lovejoy, PhD, CNS Institute for Systems Biology
David S. Riley, MD Academy of Integrative Health and Medicine; Integrative Medicine Institute; National College of Natural Medicine
Darcy Vavrek, ND, MSUniversity of Western States
David Wickes, DC, FICC, Dipl ABCI Canadian Memorial Chiropractic College
Integrative Medicine: A Clinician’s Journalwww.imjournal.com
October/November 2015 • Vol. 14 No. 5