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Iwan HH - FORTIS GLOBAL PHARMA 1
Functional MedicineTHE 21ST CENTURY MEDICINE
Iwan HH - FORTIS GLOBAL PHARMA 2
Conventional Medicine Conventional Medicine involves a system of diagnosis followed by an algorithmic approach to a treatment
Algorithm : “a finite set of well defined instructions for accomplishing some task which, given an initial state, will result in a corresponding recognizable end state.”
vs Functional Medicine…
Iwan HH - FORTIS GLOBAL PHARMA 3
Conventional Medicine
vs Functional Medicine…
Iwan HH - FORTIS GLOBAL PHARMA 4
Conventional Medicine
vs Functional Medicine…
Iwan HH - FORTIS GLOBAL PHARMA 5
Conventional Medicine
vs Functional Medicine…
Iwan HH - FORTIS GLOBAL PHARMA 6
vs Conventional Medicine
Functional Medicine :… is a science-based, healthcare approach that assesses and treats underlying causes of illness through individually tailored therapies to restore health and improve function
Iwan HH - FORTIS GLOBAL PHARMA 7
vs Conventional Medicine
Functional Medicine :… is a science-based system of personalized medicine that focuses on the root causes of chronic illness and the correction of these underlying dysfunctions rather than treating symptoms
Iwan HH - FORTIS GLOBAL PHARMA 8
1. Science based medicine that connects the emerging research base to clinical practise
Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Scientific researchPhysiologyMechanismsInteractionsCase Studies
PharmaceuticalPlacebo controlled – double blind
Iwan HH - FORTIS GLOBAL PHARMA 9
1. Science based medicine that connects the emerging research base to clinical practise
2. Biochemical individuality based on genetic and environmental uniqueness
Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE
GeneticsNOT your destiny.Gene expression is variable and able to be manipulated.Genes determine our responses to specific environmental factors
Iwan HH - FORTIS GLOBAL PHARMA 10
1. Science based medicine that connects the emerging research base to clinical practise
2. Biochemical individuality based on genetic and environmental uniqueness
Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE
EnvironmentChemical, spiritual and structural elements combine to influence your genetic expression.Manipulation of your environment can change the expression of your genes
Iwan HH - FORTIS GLOBAL PHARMA 11
ALCOHOL - SMOKING
STRESS POLLUTION
OTHER LIFESTYLES…
EATING HABITENVIRONMENT
Iwan HH - FORTIS GLOBAL PHARMA 12
STRESS ENVIRONMENT
Environment
“… we have been able to identify modifiable behavioral factors, including specific aspects of diet, overweight, inactivity, and smoking that account for over 70% of Stroke and Colon Cancer, over 80% of CHD, and over 90% of Adult-onset Diabetes”
Willet, WC Science, 2002:296. 659-97
Iwan HH - FORTIS GLOBAL PHARMA 13
1. Science based medicine that connects the emerging research base to clinical practise
2. Biochemical individuality based on genetic and environmental uniqueness
3. Patient centered care rather than disease focused
Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Iwan HH - FORTIS GLOBAL PHARMA 14
1. Science based medicine that connects the emerging research base to clinical practise
2. Biochemical individuality based on genetic and environmental uniqueness
3. Patient centered care rather than disease focused
4. Dynamic balance of Internal and External Factors
5. Weblike interconnetions of physiological processes
Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Iwan HH - FORTIS GLOBAL PHARMA 15
Iwan HH - FORTIS GLOBAL PHARMA 16
6. Promotion of organ reserve – healthspan… not just lifespan
7. Health as a positive vitality – not merely the absence of disease
Functional Medicine 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Iwan HH - FORTIS GLOBAL PHARMA 17
GENETICS
LIFESTYLE
ENVIRONMENT
ICEBERG ANALOGY
The combinations of genetics, environmental inputs and lifestyle behaviorsare underlying factors that contribute to chronic symptoms and illness
Iwan HH - FORTIS GLOBAL PHARMA 18
SYMPTOMS
GENETICS
LIFESTYLE
ENVIRONMENT
ICEBERG ANALOGY
The combinations of genetics, environmental inputs and lifestyle behaviorsare underlying factors that CONTRIBUTE TO CHRONIC SYMPTOMS AND ILLNESS
ILLNESS
Iwan HH - FORTIS GLOBAL PHARMA 19
SYMPTOMS
GENETICS
LIFESTYLE
ENVIRONME
NT
ICEBERG ANALOGY
The combinations of genetics, environmental inputs and lifestyle behaviorsare underlying factors CAN MANIFEST AS VARIOUS SIGNS & SYMPTOMS
Weight Gain/ObesityConstipation/Diarrhea
Hearburn/IndigestionBloating/Nausea/GasMemory Loss/Brain Fog
Dpression/InsomniaStiffness
High Blood PressureIncreased Blood Sugar
Headaches/DizzinessSystemic InflammationFatigue/Weakness/Pain
Confusion/AnxietySwelling
Iwan HH - FORTIS GLOBAL PHARMA 20
SYMPTOMS
GENETICS
LIFESTYLE
ENVIRONME
NT
ICEBERG ANALOGYThe combinations of genetics, environmental inputs and lifestyle behaviors
are underlying factors THAT OVERTIME DEVELOP INTO CHRONIC DISEASE
Autoimmune DiseasesGastrointestinal Disease
Kidney & Bladder DiseaseMusculoskeletal DiseaseMental Illness
C a n c e r s
Heart & Lung DiseaseInsulin Resistance & DiabetesGallbladder & Liver Disease
Neurological DiseaseThyroid Disease
S t r o k e
Iwan HH - FORTIS GLOBAL PHARMA 21
SYMPTOMS
GENETICS
LIFESTYLE
ENVIRONME
NT
CONVENTIONAL MEDICINE DOCTORS typically prescribe mediations for symptoms –whereas FUNCTIONAL MEDICINE DOCTORS addresses the underlying factors of
dysfunction and disease and then treat the whole Patient
DIFFERENT APPROACHES
CONVENTIONAL MEDICINE DOCTORS treat symptoms with
medications
FUNCTIONAL MEDICINE DOCTORS treat the underlying
causes
Iwan HH - FORTIS GLOBAL PHARMA 22
CORE IMBALANCES & DYSFUCTIONS
o Hormonal and Neurotransmitter Imbalanceso Antioxidant imbalance and Mitochondrial
Functiono Immune and Inflammatory Imbalanceso Digestive, Absorptive, and Microbiological
Imbalanceso Nutritional Deficiencies and Imbalanceso Detoxification, biotransformation, and excretory
Imbalanceso Structural and Functional Imbalances
Iwan HH - FORTIS GLOBAL PHARMA 23
TOOLS OF THE TRADE
• Medical and Nutritional History• Physical Examination• Musculoskeletal and Structural
Assessment• Body Composition Assessment• Cardiovascular and Fitness
Assessment• Diagnostic Lab Tests• Customized Wellness Programs
Diagnostic Lab Tests
• Urinalysis• Blood Chemistry• Micronutrient Testing
(Vitamin Deficiencies)• Hormone Testing (Saliva,
Blood, or Urine)• Stool Analysis (Digestion,
Bacteria, Inflammation)• Toxin and Heavy Metal
Screening• Allergies and Food
Sensitivities• Oxidative Stress• Bone Loss
Iwan HH - FORTIS GLOBAL PHARMA 24
TOOLS OF THE TRADE
• Medical and Nutritional History• Physical Examination• Musculoskeletal and Structural
Assessment• Body Composition Assessment• Cardiovascular and Fitness
Assessment• Diagnostic Lab Tests• Customized Wellness Programs
Wellness ProgramsBased on the Patient’s history, examination and laboratory test findings, a customized wellness program is prescribed designed to correct the underlying dysfuctions using Dietary and Nutraceutical Protocols
The Wellness Program is the foundation to which other treatments can be added as needed such as detoxification, physical medicine, chiropractic care, acupuncture, exercise, stress management and more…
Iwan HH - FORTIS GLOBAL PHARMA 25
“The doctor of the future will give no medicine,but will interest his patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease.” Thomas Edison