1. Functional Medicine
THE 21ST CENTURY MEDICINE
Iwan HH - FORTIS GLOBAL PHARMA
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2. 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.”
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6. … is a science-based, healthcare approach
that assesses and treats underlying causes
of illness through individually tailored
therapies to restore health and improve
function
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7. … 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
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8. 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Scientific research
Physiology
Mechanisms
Interactions
Case Studies
1. Science based medicine that
connects the emerging research
base to clinical practise
Pharmaceutical
Placebo controlled –
double blind
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9. 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Genetics
NOT your destiny.
Gene expression is
variable and able to be
manipulated.
Genes determine our
responses to specific
environmental factors
1. Science based medicine that
connects the emerging research
base to clinical practise
2. Biochemical individuality based
on genetic and environmental
uniqueness
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10. 7 PRINCIPLES OF FUNCTIONAL MEDICINE
Environment
Chemical, spiritual and
structural elements
combine to influence your
genetic expression.
Manipulation of your
environment can change
the expression of your
genes
1. Science based medicine that
connects the emerging research
base to clinical practise
2. Biochemical individuality based
on genetic and environmental
uniqueness
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11. STRESS
POLLUTION
ENVIRONMENT
EATING HABIT
ALCOHOL - SMOKING
OTHER
LIFESTYLES…
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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
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13. 7 PRINCIPLES OF FUNCTIONAL MEDICINE
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
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14. 7 PRINCIPLES OF FUNCTIONAL MEDICINE
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
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16. 7 PRINCIPLES OF FUNCTIONAL MEDICINE
6. Promotion of organ reserve –
healthspan… not just lifespan
7. Health as a positive vitality – not
merely the absence of disease
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17. ICEBERG ANALOGY
LIFESTYLE
GENETICS
ENVIRONMENT
The combinations of genetics, environmental inputs and lifestyle behaviors
are underlying factors that contribute to chronic symptoms and illness
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18. ILLNESS
SYMPTOMS
LIFESTYLE
GENETICS
ENVIRONMENT
ICEBERG ANALOGY
The combinations of genetics, environmental inputs and lifestyle behaviors
are underlying factors that CONTRIBUTE TO CHRONIC SYMPTOMS AND ILLNESS
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19. Weight Gain/Obesity
Constipation/Diarrhea
Hearburn/Indigestion
Bloating/Nausea/Gas
Memory Loss/Brain Fog
Dpression/Insomnia
Stiffness
High Blood Pressure
Increased Blood Sugar
Headaches/Dizziness
Systemic Inflammation
Fatigue/Weakness/Pain
Confusion/Anxiety
Swelling
SYMPTOMS
LIFESTYLE
GENETICS
ENVIRONMENT
ICEBERG ANALOGY
The combinations of genetics, environmental inputs and lifestyle behaviors
are underlying factors CAN MANIFEST AS VARIOUS SIGNS & SYMPTOMS
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20. Autoimmune Diseases
Gastrointestinal Disease
Kidney & Bladder Disease
Musculoskeletal Disease
Mental Illness
Cancers
Heart & Lung Disease
Insulin Resistance & Diabetes
Gallbladder & Liver Disease
Neurological Disease
Thyroid Disease
Stroke
SYMPTOMS
LIFESTYLE
GENETICS
ENVIRONMENT
ICEBERG ANALOGY
The combinations of genetics, environmental inputs and lifestyle behaviors
are underlying factors THAT OVERTIME DEVELOP INTO CHRONIC DISEASE
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21. CONVENTIONAL
MEDICINE DOCTORS
treat symptoms with
medications
SYMPTOMS
LIFESTYLE
FUNCTIONAL
MEDICINE DOCTORS
treat the underlying
causes
GENETICS
ENVIRONMENT
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
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22. o Hormonal and Neurotransmitter Imbalances
o Antioxidant imbalance and Mitochondrial
Function
o Immune and Inflammatory Imbalances
o Digestive, Absorptive, and Microbiological
Imbalances
o Nutritional Deficiencies and Imbalances
o Detoxification, biotransformation, and excretory
Imbalances
o Structural and Functional Imbalances
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23. • Medical and Nutritional History
• Physical Examination
• Musculoskeletal and Structural
Assessment
• Body Composition Assessment
• Cardiovascular and Fitness
Assessment
• Diagnostic Lab Tests
• Customized Wellness Programs
Iwan HH - FORTIS GLOBAL PHARMA
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
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24. • Medical and Nutritional History
• Physical Examination
• Musculoskeletal and Structural
Assessment
• Body Composition Assessment
• Cardiovascular and Fitness
Assessment
• Diagnostic Lab Tests
• Customized Wellness Programs
Iwan HH - FORTIS GLOBAL PHARMA
Wellness Programs
Based 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,
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stress management and more…

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
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