2012 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 www.aapiusa.org AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 ISBN: 978-0-615-63857-7 Copyright © April 2012 by The Association of Physicians of Indian Origin (AAPI) All rights reserved. No part of this E book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any other information storage and retrieval system, without the written permission. Please do not participate in or encourage piracy of copyrighted materials in violation of the authors’ rights. This E book is intended as a reference volume only, not as a medical manual. The information given here is designed to help you make informed decisions about your health. It is not intended as a substitute for any treatment that may have been prescribed by your doctor. If you suspect that you have a medical problem, we urge you to seek competent medical help. Although every effort has been made to provide accurate and up-to- date information, this E book cannot guarantee to be free of factual error. The authors shall have no liability of any kind for damages of any nature howsoever caused and will not accept any responsibility for any errors, omissions or misstatements that may exist within this publication. Internet addresses and telephone numbers given in this E book were accurate at the time of publication. Formatted by Ashley Dunham, Dietetic Intern, Tufts Medical Center viii AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 CONTRIBUTING AUTHORS Susan Allen, RD, CCN Massimo Guerrieri, MS Vernon C. Barksdale, MD Richard I. Horowitz, MD Keith Berndtson, MD George Keanna, DDS Hal S. Blatman, MD David Perlmutter, MD Stephen S. Cowan, MD Simcha Pollack, PhD Marilyn Freedman, PT, DPT Riva Preil, PT, DPT Alan R. Gaby, MD Robert Rountree, MD Leo Galland, MD Poulina Q. Uddin, MD Jeannette Graf, MD Micheline Vargas, DrPH, CNS, RCEP, CSCS Erminia “Mimi” Guarneri, MD American Association of Physicians of Indian Origin 600 Enterprise Drive, Suite 108 Oakbrook, Illinois, 60523 USA 630-990-2277 [email protected] www.aapiusa.org ix AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 Contents Acknowledgments........................................................................................................................................................xii Introduction………………………………………………..............................................................................................................169 Rita Kashi Batheja, MS, RD, CDN Foreword…………………………………………………..............................................................................................................172 Sunita Kanumury, MD Chapter 19….........................................................................................................................................................174 Person-Centered Diagnosis: Principles and Practice Leo Galland, MD, FACP, FACN Chapter 20…..........................................................................................................................................................194 Reducing Under-Evaluation and Over-Treatment: An Opportunity for Functional Medicine Keith Berndtson, MD Chapter 21…..........................................................................................................................................................208 Nutritional Treatment of Fatigue (Excluding Chronic Fatigue Syndrome) Alan R. Gaby, MD Chapter 22…..........................................................................................................................................................219 Roundoc Rx The Human Microbiome – Humans as Super-Organisms Robert Rountree, MD Chapter 23…..........................................................................................................................................................230 Neurogenesis: Growing New Brain Cells David Perlmutter, MD, FACN, ABIHM Chapter 24…..........................................................................................................................................................240 Functional Medicine and the Patient-Physician Relationship Keith Berndtson, MD Chapter 25…..........................................................................................................................................................251 Mending the Mind-Body Connection for Better Health Susan Allen, RD, CCN Chapter 26…..........................................................................................................................................................268 Healing Emotions in Children Stephen Scott Cowan, MD, FAAP Chapter 27…..........................................................................................................................................................276 Atherosclerosis, Functional Foods, and Nutritional Genomics Micheline Vargas, DrPH, CNS, RCEP, CSCS Chapter 28…..........................................................................................................................................................295 Integrative Cardiology: Nutrition, Nutraceuticals and Enhancing Resiliency in Cardiovascular Disease Erminia “Mimi” Guarneri, MD, FACC Poulina Q. Uddin, MD x AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 Chapter 29…..........................................................................................................................................................312 A Non-invasive Thermal-wrap Technique for Inducing Calorie Burning and Weight Loss Jeannette Graf, MD Simcha Pollack, PhD Massimo Guerrieri, MS Chapter 30…..........................................................................................................................................................323 New Ideas for the Treatment of Pain Hal S. Blatman, MD Chapter 31…..........................................................................................................................................................331 Multiple Chronic Infectious Disease Syndrome: Understanding Chronic Lyme Disease and Persistent Illness Richard I. Horowitz, MD Chapter 32…..........................................................................................................................................................346 What is Biological Dentistry? Dentists as Physicians of the Mouth George Keanna, DDS Chapter 33…..........................................................................................................................................................351 Pelvicology: A Neuro Muscular Skeletal Approach to the Treatment of Pelvic Conditions Marilyn Freedman, PT, DPT, CAPP, BCB-PMBTM Chapter 34…..........................................................................................................................................................357 Activating Our Healing Potential by Using Our Innate Faith Vernon C. Barksdale, MD, MPH, CPI xi AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 ACKNOWLEDGEMENTS Sunita Kanumury, MD and Rita Batheja, RD wish to thank everyone who has contributed to AAPI’s Nutrition Guide to Optimal Health: Using Principles of Functional Medicine and Nutritional Genomics Part 2. Susan Allen Louise Taber Barksdale Vernon C. Barksdale Kashi P. Batheja Keith Berndtson Hal S. Blatman Stephen Scott Cowan Yolanda Davis Dietitians in Integrative & Functional Medicine Practice Group, Academy of Nutrition and Dietetics Colleen Fogarty Draper Ashley Dunham (Thanks for helping with AAPI eBook Part 1 & 2) Marilyn Freedman Phyllis R. Freeman Alan R. Gaby Jonathan Galland Leo Galland Jeannette Graf Elizabeth Graham Erminia “Mimi” Guarneri Massimo Guerrieri Richard I. Horowitz Hay House Institute of Functional Medicine (IFM) Erica Graham Keanna George Keanna Sarah Harding Laidlaw Erica Lennon Mary Ann Liebert, Inc Alex Lubarsky Ing. Riccardo March Kathy Moore David Perlmutter Riva Preil Simcha Pollack Robert Rountree Jyoti Robin Shah Poulina Q. Uddin Micheline Vargas xii AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 Introduction Rita Kashi Batheja, MS, RD, CDN 169 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 170 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 171 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 Foreword Sunita Kanumury, MD 172 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 173 AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 19 Person-Centered Diagnosis: Principles and Practice Leo Galland, MD, FACP, FACN The purpose of this chapter is to present an ELICITING THE PATIENT'S STORY organizational structure for assessment of patients The first step in