optimal health: functional medicine and nutritional genomics

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AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 illness are critically important for self-care and may influence both behavioral and physiological responses to illness. Perceived self-efficacy is an important mediator of health and healing. Enhancement of patients' self-efficacy through information, education and the development of a collaborative relationship between patient and healer is a cardinal goal in all clinical encounters. Table 1. Common Illness mediators Social/cultural Reinforcement for staying sick Behavioral conditioning Lack of resources due to social isolation or poverty The nature of the sick role and the doctor/patient relationship Biochemical Subatomic Cognitive/emotional Hormones Neurotransmitters Neuropeptides Cytokines Free radicals Transcription factors Ions Electrons Electrical and magnetic fields Fear of pain or loss Feelings or personal beliefs about illness Poor self-esteem, low perceived self-efficacy Learned helplessness Lack of relevant health information Courtesy to reprint this article from Institute of Functional Medicine Text Book. This chapter provides a key foundation for the practice of functional and integrated medicine. For extensive information on integrated medicine, including Dr. Galland’s articles on Leaky Gut Syndrome, Parasites, Detoxification and Magnesium, visit the Foundation for Integrated Medicine (http://www.mdheal.org/). In addition, Dr. Galland has created an extensive online resource featuring the wisdom of leading integrated physicians at Pill Advised (http://pilladvised.com), where you can also learn more about interactions between drugs and supplements, and between supplements, featuring highlights of published reports from research centers. Leo Galland is internationally recognized as a leader in Integrative Medicine and Functional Medicine. An experienced and dynamic speaker, he has lectured extensively to business and professional groups throughout the United States and the British Commonwealth, and in Europe. He is the author of three popular books, The Fat Resistance Diet, Power Healing, and Superimmunity for Kids. Dr. Galland is celebrated as a master clinician who has popularized innovative nutritional therapies for prevention and 186
AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS PART 2 2012 treatment of chronic conditions, including obesity, metabolic dysfunction, allergies, immune system disorders, gastrointestinal problems and neurological diseases. He maintains a private consulting practice in New York City, where he treats patients from all over the world. Dr. Galland is the author of more than 40 scientific articles and has contributed chapters and material to numerous textbooks including Integrative Gastroenterology (2011), Textbook of Functional Medicine (2010), ACP Evidence-Based Guide to Complementary and Alternative Medicine (2009), Complementary Medicine in Clinical Practice (2006), Encyclopedia of Human Nutrition (2005), the Textbook of Natural Medicine, (2005) Integrative Medicine, Principles for Practice, (2004), Inside the Minds: The Art & Science of Being a Doctor (2002), Post-Viral Fatigue Syndrome (1991), Workers with Multiple Chemical Sensitivities (1987), He is the coauthor of Gastrointestinal Dysregulation: Connections to Chronic Disease (2008). Dr. Galland has been honored with the Linus Pauling Award from the Institute of Functional Medicine for developing key concepts of Functional Medicine. He received the Seelig Magnesium Award from the American College of Nutrition, the Clinician of the Year Award from the National Nutritional Foods Association, and the Harold W. Harper Award in Preventive Medicine from the American College for Advancement in Medicine. He has been consistently selected for America’s Top Doctors. Interviews with Dr. Galland or articles about his work have been featured in The New York Times, The Washington Post, Newsweek, Reader's Digest, Redbook, Self, Bazaar, Men's Fitness, Allure, Bottom Line, The New York Daily News and many other publications. He has appeared as a medical expert on The Today Show, Good Morning America, PBS, Fox News, CNN, MSNBC and dozens of local affiliates of the major broadcast networks. Dr. Galland graduated from Harvard University and completed his medical education and training at New York University Medical Center. Board certified in Internal Medicine, he has held faculty appointments at the Rockefeller University, the Albert Einstein College of Medicine, the State University of New York at Stony Brook and the University of Connecticut, and served as Director of Medical Research at the renowned Gesell Institute of Human Development in New Haven. Based on his extensive research of how supplements and medications interact, Dr. Galland developed Pilladvised.com, a web application where users can learn about interactions. In addition, he is the Director of the Foundation for Integrated Medicine (mdheal.org), a non-profit educational organization committed to integrating nutritional therapies into clinical practice. Contact Leo Galland at http://pilladvised.com References: 1 Galland L, "Person-Centered Diagnosis", in Power Healing, New York, Random House, 1998, pp 52-97. 2 Reiser SJ. The era of the patient. Using the experience of illness in shaping the missions of health care. JAMA. 1993; 269: 1012-1017. 3 Beckman HB, Frankel RM. The effect of physician behavior on the collection of data. Ann Int Med. 1984; 101: 692-696. 4 Frankel R. Talking in interviews: a dispreference for patient-initiated questions in physician-patient encounters. In Studies in Ethnomethodology and Conversation Analysis. No. 1. G Psathas, ed. The International Institute for Ethnomethodology and Conversation Analysis and University Press of America. Washington D.C. 1990: 231-262. 187
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