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

4. The Common Condition

6. Our Integrative Center

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-basedCollaborative HolisticHolisticPersonalized Compassionate

12. What about Functional? What is “functional nutrition?”

14. http:/ www.functionalmedicine.org/getstarted/resources/ IFM’s Functional Medicine Tree

15. 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. What is Functional Medicine/Nutrition?

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.  Traditional Western 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/http://www.functionalmedicine.org/about/whatisfm/

17. Nutrition is a critical component of Integrative and Functional Medicine!  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.

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

21. “Food as Medicine”  whole foods therapies  targeted supplements and  mind/body modalities….  and is based firmly in the Integrative Medicine 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