How to Use a Functional Medicine Practitioner

I have visited this subject in previous blogs but I have just read a very interesting case study of two patients with horrible fibromyalgia issues and I think the subject must be broached again and again. If you or anyone you know suffers from the wracking pain of fibromyalgia and the resulting exhaustion of the accompanying chronic fatigue you, too, would feel my fervor regarding the subject of functional medicine/integrative medicine. However, everyone or better said anyone with medical issues such as autoimmune disorders, cardiac issues, infertility, cancer, etc. can benefit from seeing a functional medicine practitioner, a licensed MD who specializes in functional/integrative medicine and will from here on out be referred to as a FMP.

Typically when a person visits their general practitioner or even a nurse practitioner the medical person will look at a brief medical history of the patient they see before them. They will have been given no more than 15 minutes to visit with this person and provide a diagnosis and I am told sometimes the doctor never takes their hand off the door knob. How much thinking or caring goes in to a diagnosis given on the run? The easiest path is always the path of least resistance and hardly anyone will or can resist taking a miraculous little pill, so guess what? This medical person will reach in to their pocket and pull out a pad of paper, scratch some words on it, sign it, give it to you with instructions to take it to your pharmacy of choice and send you on your way.

Do you know (or have you experienced it personally) that some people end up taking pharmaceutical products that actually counteract each other? Or that they end up with a cupboard full of pharmacy products that are costing them (or us) a bomb but they haven’t even addressed the medical issue? The case study I just read was depressing as these two women had been put on psychiatric medicines, pain medicines, acid reflux medicines, etc. (and I am not exaggerating about the etc.) and still their symptoms did not abate and both cases got much worse. They both thought they were losing their minds and the medical people they saw corroborated their suspicions instead of doing the right thing.

This is the point where you as the patient have to have done your homework. You have to understand that this physician means well but medicine is a big business now and there are bills to be paid and equipment to be used to pay those bills, so they want to use them be it in a surgical setting or elsewhere. They don’t or won’t take time to thoroughly examine your situation and if and when you start asking questions (because you have done your homework) they will get irritated and downright rude. I have heard that people are told “you aren’t a doctor” or “do not mention that name again in this office” if they ask questions or mention people like Joe Mercola. If this ever happens to you, excuse yourself, grab your clothes and leave. Go home, turn on your computer, Google “Functional Medicine Practioners” and make an appointment with the one nearest to your location.

Why? You will instantly see the difference because the first thing you will do is fill out a health history like no other you have ever filled out. I seem to remember that Dr. Rob Bruley’s was 24 pages long and included questions like “Do you clear your throat often?” or “Have you experienced any major life changes recently?” right down to the number of daily bowel movements you experience. These questions will be carefully examined by your FMP before you are even seen in the office and a course of action will only take place after you have also had at least one hour and a half appointment in their office, face to face. Don’t be taken aback by the offer of a glass of water, or even a tissue to wipe away your tears of relief. Someone is finally listening to you and they don’t even have their fingers on the door knob.

Next the FMP will try to make things better as soon as possible but this may not be an overnight solution. They may prescribe pharmaceutical products to temporarily alleviate your anxiety or pain, after all they are MDs, so they do understand that once in awhile a pill really does help. What they will do that your GP doesn’t do is try to find the underlying problem not just apply a bandaid that will eventually fail and leave you with a gaping hole again filled with aches and pains that will require one more pill with all of its side effects and conditions. You will most likely have a full blood panel ordered, a 4 stage stool test, mucosal barrier tests and heavy metal tests. You may also need an Estronex test or Cortisal/DHEA test or even an Iodine loading test. The tests requested by the FMP will depend on how you filled out that lengthy questionaire and what tests they feel will peel off the layers and expose the underlying cause of your problem. Your insurance may or may not pay for all the tests but if you are seriously ill the cost of the tests is nothing when compared to giving in and losing this battle altogether. Don’t forget there are a plethora of case studies out there where people have sought treatment, been given treatment at great expense, the treatment fails and they go bankrupt trying to pay for failed allopahtic care. Bite the bullet and pay for the tests you need it will be cheaper in the long run.

Once the tests results are back your FMP will schedule up to 3 hours of time to thoroughly discuss a plan of action. You will walk out of the office feeling drained (admittedly of money as well as emotions) but positive. Someone has listened to you, taken action and hope reigns anew. In the case of these two women in the study I read they had both suffered for years with paralyzing pain, dizziness and anxiety. They both were on some of the strongest pain meds you can take and neither one got relief without increasing the strength or adding this pill or that pill and those just exacerbated other issues. When they finally found a FMP and followed through with recommended tests they found that they were both taking zero pharmaceutical products, their pain was gone and their future rosy. Just in case you are interested, one had undiagnosed autoimmune thyroiditis and the other had a bacteria that was harbored in the mucosal lining of her intestinal tract. Both patients were treated in very different ways despite having the same issue of fibromyalgia and both had successful outcomes.

When considering this recommendation remember I am a lay person just like you, I am not a doctor. I have health concerns much the same as you do and I see a FMP because he was the only one who understood that I understood and would listen to me and work with me. He was never threatening or condescending and I can honestly say I have never seen his fingers touch a door knob for anything except to keep  our discussion private and to allow me to leave when I feel all questions have been addressed.

Peri significance

This article may contain very few facts and figures but I feel I have something to share that women who find themselves peri-forty might find interesting. You may not want to hear this but your peri-menopause years are encroaching and no one talks about the effect the changing hormones will have on you, well at least very few medical people look there first when things start going a bit wacko in your forties. To be honest, after thirty things are already changing but more slowly and less obviously, so I have arbitrarily picked forty as a number that is peri your menopause years.

There are many words containing the prefix peri- and generally it means around, enclosing, surrounding but also “a lovely person”. Hmm, I like that last one so I am mostly going to adopt the Persian definition which has a lot to do with mythical fairies. When I became a “lovely person” in my mid-forties not one person medical or not mentioned that my “loveliness” might be my changing hormones. In fact, my very well meaning daughter mentioned discreetly that I might need anti-anxiety meds, so off I went to a female physician who willingly gave me a prescription for Paxil and never once mentioned that what I was experiencing might be a fluctuation in my hormones.

I took those seemingly harmless little pastilles for almost two years and then one day I realized I was still crying. Worse than the tears though I seemed to have developed weakness in the muscles of my thighs (not a listed side effect) and I quickly weaned myself off that Pharmaceutical magic bullet. I also started reading voraciously everything I could find on hormones and a sort of metamorphosis began. I think things have changed in 10 years as there are great sites that offer women explanations for their changing bodies like Women to Women and Mercola.com,  but at that time it was hard to find anything in the conventional media about those pesky hormones. In fact, it wasn’t that long ago that no one mentioned the unmentionable-menopause.

I think it is vital that when you find yourself sitting in the middle of your livingroom floor crying for no reason, when you can’t sleep because you are having panic attacks in the middle of the night, you look first at your thyroid numbers (all five of them do not settle for just TSH) and then balance your raging hormones or vice versa.  Compounded bio-identical hormones are the ticket to a successful trip through the next few years for you “lovely” women and Suzanne Somers has researched this subject very thoroughly and has a lot of good facts and figures. You don’t have to buy in to everything she has to say but her basic knowledge is well researched according to my functional medicine doctor. Personally, I believe that my out of balance hormones probably sent my thyroid down a very tortuous route and landed me in thyroid purgatory for many years but that is my theory alone. What I do know is now that my hormones are more balanced my thyroid is suddenly much easier to regulate.

If you are a woman feeling “lovely” in your forties or fifties and wondering why you feel so wacko and out of sorts find yourself a functional medicine doctor and do it yesterday. Functional medicine doctors always have you fill out detailed health histories that can be 25 pages or more in length and your answers are invaluable to them. They will run blood panels that will leave your phlebotomist gasping but again the minutiae of those blood tests will tell them volumes. Why have everyone pointing at you saying you are a little wacko when you are a Peri at heart. You can regain your confidence and feeling of self worth with just a little help.

Filler ‘er up

I am at times perplexed by the willingness of even the most skeptical of us to put things in our mouths and never ask a question about what is in it. I am a skeptic at heart but when my functional medicine doctor advised me to take supplements I dutifully did so and did not read the labels. Apparently I am not “skeptical” if I think I could live a longer, healthier life by doing what I was told.

Fast forward six months or so after my appointment with my doctor and I started to read a lot of articles about fillers in supplements and the harm they can do. In my defense I did discuss this with my doctor and he felt that fillers are not a problem. I might agree if I didn’t take a handful of supplements most days and if they didn’t make me feel bad. Also to my amazement there are reputable manufacturers who make supplements with no fillers but they do cost more.

What are these fillers? Check your label sometime and look to see the words maltodextrin, magnesium stearate, stearic acid, ascorbyl palmitate, titanium dioxide, gelatin, etc. These ingredients have a variety of purposes but most are used as lubricants (magnesium stearate, stearic acid, and ascorby palmitate), some are just fillers that have  excitotoxin properties that will make you feel you are better when you aren’t (gelatin and maltodextrin can both have msg).

Magnesium stearate, stearic acid and ascorbyl palmitate are the ingredients that are the most egregious offenders as they are strictly there to make machinery run at maximum efficiency because they make the ingredients slippery. They are made by hydrogenating cottonseed or palm oil and according to Udo Erasmus “cottonseed has the highest content of pesticide residue of all commercial oils. In the hydrogenation process, the oil is subjected to high heat and pressure in the presence of a metal catalyst for several hours. The resultant stearates contain altered molecules, derived from fatty acids, which may be toxic. The metal catalyst may also contaminate the stearates produced.”  Up to 5% of the average supplement capsule is magnesium stearate, that is 25 mg. According to Ron Schmid, N.D. “if you take 8 capsules a day that is 250 a month-or 6250 mg of this hydrogenated oil, or nearly one-quarter ounce which in a year averages 3 ounces” of pesticide laden artery clogging hydrogenated oil.

Crikey here I am watching every mouthful of food I eat. I buy expensive extra virgin olive oil and grapeseed oil that is organic. I religiously exercise three to four times a week. I try to get my 7-8 hours of sleep at night. I travel to a farm 50 miles from my house to buy raw milk and my eggs come from pastured chickens 30 miles from my home. I eat only grass fed beef and bison. The chicken we eat has had the run of the prairie at Farmer Darryles and the pigs nosh on organic leftover veggies and eggs. All this and I am unknowingly consuming 3 ounces of pure poison and no one bats an eyelash. I am here to tell you that it isn’t necessary and until the consumer speaks up nothing will be done about it. I can also personally attest to the fact that even if you speak up you will be told they are necessary (Byron Richards at Wellness Resources right here in Edina, MN).

I am now on a mission to rid my diet of these fillers yet take the supplements that  might help my body thrive. A friend of mine and I are researching every possible source of filler and additive free supplement and I can provide you with a few sites and supplements to assist you if you are interested. They are as follows:

Dr. Rons Ultra Pure

Professional Supplement Center

HBC Protocols

Iherb

Baseline Nutritionals

Paradise Herbs

Premier Labs

Viable Herbal Solutions

Vitabase

Dr. Ron’s supplements are pure and unadulterated, all of them. Professional Supplement Center carries Thorne Research, Pure Encapsulations and Metabolic Maintenance. HBS Protocols has some products without fillers like Masquelliers OPC and Idebenone. Iherb has a full line of Dr. Christopher’s herbal supplements that are free of fillers and are all natural formulas for what ails you and they carry Paradise Herbs. If you use my code YAN884 you will get a discount for first time users at Iherb. Baseline Nutritionals are a line of products by Jon Barron and most of his products are free of fillers but you have to watch the tablets or capsules. Premier offers some additive and filler free supplements but not all of them are, so read the label. Vitabase offers some supplements that are free of fillers but again you need to read the label.

I am hoping to entice Chloe to continue her research as she is a fabulous investigator and I will continue to provide you with more supplements that are free of fillers and excitotoxins, so stay tuned and stay healthy.

Functional Medicine:Do It Or Die?

I realized the other day that I haven’t been using my blog and I have been accumulating various random thoughts that are clogging my precious file space, so it is time to put it in writing and refill my gray matter with more ruminations.

People constantly ask me health questions because they know I have a keen interest in health related subjects and research topics regularly. As a result I have learned that most people really don’t get adequate care at their local medical clinic. I have a very personal case in point that I would like to share and I hope no one will feel violated as this is within my nuclear family as I would never discuss in this forum any of my clients health matters. I would especially like to appeal to the doubters among you.

Let’s call this patient Surrey (because it is fun to name characters when you are writing). Surrey cannot get pregnant and it is clearly her problem, so she recently went to her local medical clinic and was seen by a very “compassionate” and “thorough” health care professional. Surrey had the normal exams that every woman endures and she was sent to the lab for routine blood tests because she had some specific concerns that she and I had discussed, so she specifically requested that some issues be checked.

The tests came back and she was told all was normal, normal as defined by the AMA or some other esteemed group of people like the employees of your insurance company. As I mentioned Surrey is infertile and heartbroken, so rather than pursue the normal prohibitively expensive infertility treatments I asked her to see a functional medicine doctor, Dr. Rob Bruley, in Linden Hills Minnesota to see if he could do anything to just get her body working on its own.

Dr. Bruley requested more blood work. These are not weird or unnecessary blood tests but tests that should be run on each and every one of us but unless you request it or see someone more responsible like a functional medicine doctor you will never have these tests done despite their lifesaving qualities. She had thyroid tests run again, Vitamin D3 tests to check her Vitamin D levels, she had a fasting insulin and a non fasting insulin test and a more complete test of her blood cells even Celiacs disease was on the lengthy list. None of these tests were earth shattering but the news that followed certainly rocked Surrey’s world.

Remember now that she had been told her thyroid was fine just a few weeks prior to this time but after a more careful examination was complete she was found to not just have an underproductive thyroid but she has autoimmune thyroiditis sometimes called Hashimoto’s Disease. Even Dr. Bruley was taken aback by this discovery. It is unfortunately a major contributor to infertility in females.

She was also found to be very insulin resistant which is a precursor to Diabetes 2. Insulin resistance is being looked at as a number 1 contributor to infertility in young women not to mention a plethora of other health issues that plague our population at the moment. The previous blood tests had revealed no hint of this rather major health issue.

Lastly, she was diagnosed as being anemic. As I understand it her red blood cells are not readily absorbing available iron for some reason. Again this is a big problem for women who want to have offspring as it interferes with a woman’s ability to be fertile.

What is that saying to do with baseball, three strikes and you are out? Well I would say our public health care is out, out of touch, out of treatments that don’t involve a pharmaceutical product, out of the business of taking care of people’s health. And if that doesn’t scare you Minnesota’s health care has a reputation for being some of the best in the country.

Surrey still isn’t pregnant and her biological clock is ticking so loud I can hear it and I am 30 miles away. She may pursue conventional infertility treatments and I can’t blame her for that but the care she received in the office of a doctor that calls himself a functional medicine doctor (Google the word) may have extended her life. Whether she spends those extra years with children or not only time will tell.

If you still doubt the message I am trying to share on this blog site I guess I can say no more than “doubter beware” and you are in my prayers.