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Fatigue
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
The term functional medicine was coined in 1991 by Dr. Jeffrey Bland, founder of the Institute of Functional Medicine in Gig Harbor, Washington. Functional medicine is a patient-centered healing approach that looks at the whole person through a lens of causation rather than simply treating symptoms. This approach to health and healing focuses intentionally on the how and why of illness. With regard to fatigue, consider these questions: “In what ways do I experience fatigue? What might be the underlying causes of this condition?”
Definition of Lifestyle Medicine
Published in James M. Rippe, Lifestyle Medicine, 2019
Functional Medicine is a patient-centered approach that goes beyond a typical holistic model to balance core functional processes in the body identified as assimilation, defense and repair, energy, biotransformation and elimination, transport, communication, and structural integrity. It recognizes antecedents, triggering events, and mediators/perpetuators. An individual’s mental, emotional, and spiritual dimensions, as well as personal lifestyle choices, are addressed in a standardized methodology termed “the matrix.” The Functional Medicine practitioner takes time to listen to the patient and develop a timeline, which assists the patient and practitioner in building an understanding of the interaction of genetic, environmental, and lifestyle factors that have affected the disease. The Functional Medicine practitioner is encouraged to ask the “why” question to at least five levels in order to ascertain the “root cause” of a patient’s disease and symptoms. The result is a switch from the disease diagnosis model of traditional allopathic medicine to a more patient-centered and individual approach.
Treating the Underlying Causes of Synovitis, Degenerative Joint Disease and Osteoarthritis in Primary Care
Published in Kohlstadt Ingrid, Cintron Kenneth, Metabolic Therapies in Orthopedics, Second Edition, 2018
Functional Medicine is a personalized, systems-oriented model that empowers patients and practitioners to achieve the highest expression of health by working in collaboration to address the underlying causes of what we call disease [46]. The Institute for Functional Medicine has developed tools to help the clinician think critically about complex health problems. One of these tools – the Functional Medicine Matrix – is a one-page graphic representation of the Functional Medicine approach (Figure 24.4) [47].
Obesity in midlife: lifestyle and dietary strategies
Published in Climacteric, 2020
A few other emerging fields are metabolically healthy obesity, cardiorespiratory fitness, and holistic approaches such as precision medicine, functional medicine, and nutrigenomics. Personalized whole-body approaches using genetic analysis, epigenetics, data from the gut microbiome, and so forth are still far from taking the place of conventional allopathic medicine, especially in developing countries where population diets are the focus. However, we might achieve better outcomes using more personalized holistic approaches. It will be exciting to see the research in context for the prevention and treatment of menopausal weight gain. Finally, a continued, concerted, and vigorous effort regarding health policy and the legislative agenda pertaining to reimbursement for structured lifestyle medicine is needed.
Alopecia areata and the gut—the link opens up for novel therapeutic interventions
Published in Expert Opinion on Therapeutic Targets, 2018
The growing interest in functional food, functional medicine and anti-inflammatory diets speak in favor of the benefits associated with reducing inflammatory triggers via the gut, and that it seems to work both with regards to restoring intestinal and general homeostasis but also by dampening inflammatory diseases, including autoimmunity [67,69,70]. Although our diet largely impacts the microbiome diversity and consequently our health, other factors such as hygiene also impact the microbiota and the development of our immune system. According to many studies, a high level of hygiene increases the risk for developing allergies, asthma and autoimmune diseases, including during pregnancy [71–73]. However, when comparing Japan to the USA, the number of asthma patients is clearly higher in the US and the hygiene level much higher in Japan [55]. This indicates that diet, and possibly other lifestyle factors, out rules the hygiene hypothesis in the significance of a well-regulated immune system.
Integrative pathways: navigating chronic illness with a mind-body-spirit approach
Published in American Journal of Clinical Hypnosis, 2020
The authors provide a clear explanation of why a “pathways approach” is necessary. Paraphrasing WHO statistics, “almost 70% of deaths annually are caused by chronic diseases.” They introduce functional medicine, developed in 1990 by Jeffrey Bland, arguing that a nutritional and biosystems understanding is necessary to counter the simplistic pharmaceutical and physicalist approach that had been so ineffectual with chronic conditions. Furthermore, they show that the interest in complementary and alternative medicine grew in response to dissatisfaction with the standard medical model. And the authors consider the value of these approaches.