What is Functional Medicine? Functional medicine is personalized medicine that
deals with primary prevention and underlying causes instead of symptoms for
serious chronic disease. It is a science-based field of health care that is grounded in
the following principles:
• Biochemical individuality describes the importance of individual
variations in metabolic function that derive from genetic and environmental
differences among individuals.
• Patient-centered medicine emphasizes "patient care" rather than "disease
care,"following Sir William Osler’s admonition that "It is more important to
know what patient has the disease than to know what disease the patient has."
• Dynamic balance of internal and external factors.
• Web-like interconnections of physiological factors – an abundance of
research now supports the view that the human body functions as an
orchestrated network of interconnected systems, rather than individual
systems functioning autonomously and without effect on each other. For
example, we now know that immunological dysfunctions can promote
cardiovascular disease, that dietary imbalances can cause hormonal
disturbances, and that environmental exposurescan precipitate neurologic
syndromes such as Parkinson’s disease.
• Health as a positive vitality – not merely the absence of disease.
• Promotion of organ reserve as the means to enhance health span.
Functional medicine is anchored by an examination of the core clinical
imbalances that underlie various disease conditions. Those imbalances arise as
environmental inputs such as diet, nutrients (including air and water), exercise,
and trauma are processed by one’s body, mind, and spirit through a unique set of
genetic predispositions, attitudes, and beliefs. The fundamental physiological
processes include communication, both outside and inside the cell; bioenergetics,
or the transformation of food into energy; replication, repair, and maintenance of
structural integrity, from the cellular to the whole body level; elimination of waste;
protection and defense; and transport and circulation. The core clinical imbalances
that arise from malfunctions within this complex system include:
• Hormonal and neurotransmitter imbalances
• Oxidation-reduction imbalances and mitochondropathy
• Detoxification and biotransformational imbalances
• Immune imbalances
• Inflammatory imbalances
• Digestive, absorptive, and microbiological imbalances
• Structural imbalances from cellular membrane function to the
Imbalances such as these are the precursors to the signs and symptoms by which we
detect and label (diagnose) organ system disease. Improving balance – in the patient’
s environmental inputs and in the body’s fundamental physiological processes – is
the precursor to restoring health and it involves much more than treating the
symptoms. Functional medicine is dedicated to improving the management of
complex, chronic disease by intervening at multiple levels to address these core
clinical imbalances and to restore each patient’s functionality and health. Functional
medicine is not a unique and separate body of knowledge. It is grounded in scientific
principles and information widely available in medicine today, combining research
from various disciplines into highly detailed yet clinically relevant models of
disease pathogenesis and effective clinical management.
Functional medicine emphasizes a definable and teachable process of integrating
multiple knowledge bases within a pragmatic intellectual matrix that focuses on
functionality at many levels, rather than a single treatment for a single diagnosis.
Functional medicine uses the patient’s story as a key tool for integrating diagnosis,
signs and symptoms, and evidence of clinical imbalances into a comprehensive
approach to improve both the patient’s environmental inputs and his or her
physiological function. It is a clinician’s discipline, and it directly addresses the need
to transform the practice of primary care.
Health & Wellness Blog
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