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
exposures can 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 musculoskeletal system
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.
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