In this final episode of 2022, James reviews key topics from the year of growth and provides a sneak peek of what is to come in 2023, the year of connection.

The Evolution of Medicine community has experienced impressive growth and witnessed significant shifts in 2022. We learned about deprescribing to help patients escape the polypharmacy public health disaster. We have applied functional medicine principles to help patients who experience long COVID and other post-viral syndromes.

Increasingly, we are also seeing signs that the mainstream is moving in our direction, and we must position ourselves to be ready when more patients come our way. Functional medicine needs to scale up, in part to help address the mental health crisis that exploded during the COVID era. More patients are also seeking support from functional medicine providers for vaccine injuries, such as myocarditis.

Healthcare systems are now adopting functional medicine and building integrative care into their hospital and insurance systems. Group care is being delivered on a larger scale as well, which increases access to functional medicine.

While the Evolution of Medicine is apolitical, James also discusses how medicine has been impacted by the economic and political climates in the US and UK.

Listen to the full episode to hear more of James’ reflections about:

• Long COVID, controversies regarding its prevalence and why our community is able to provide the best help for patients
• Signs that mainstream medicine is moving in our direction
• Censorship, authoritarianism and technology
• The effects of the pandemic on mental health, especially for children
• Upcoming 2023 initiatives well-worth anticipating 

In this episode of the Business of Functional Medicine series, our guest, Erwin Raphael McManus, is a pastor, author, filmmaker and thought leader at the intersection of entrepreneurship, spirituality and psychology. He joins this podcast to share his model of communication archetypes called The 7 Frequencies and how understanding them can help practitioners work and communicate more effectively with patients.

Erwin also talks through the frequencies most often adopted by practitioners and offers insights on how to better support and motivate patients to get healthy before they get sick.

Listen to the full episode to learn more about:

• Erwin’s thoughts on the theory of quantum entanglement
• Descriptions of the frequencies, including the Challenger, Seer and Maven
• How healthcare providers benefit from understanding their communication style
• The importance of interpersonal relationships and interactions between patients and clinicians
• And much more

Erwin McManus is also the host of The Genius Of podcast and the founder of McManus Gallery and Mosaic, a church movement based in the heart of Hollywood, CA. Visit his website to learn more about The 7 Frequencies along with his other work.

Dysautonomia is a condition where the nervous system becomes dysregulated, causing disruption in the functions of various organ systems. Common symptoms include fluctuations in blood pressure, fatigue and anxiety. The condition seems to be increasingly common in the post-COVID era, and conventional medicine is unable to resolve the causes of this condition for patients.

Shilpa P. Saxena, MD, an expert in cardiometabolic health and regular guest on the podcast, joins us to explore why functional medicine clinicians are uniquely positioned to support patients experiencing dysautonomia.

Listen to the full conversation to learn more about:

• The importance of polyvagal theory for understanding dysautonomia 
• How vagal tone impacts multiple organ systems
• How to regulate and improve vagal tone
• Functional medicine tools that help heal dysautonomia

Julie Funt is the CEO of Juliet Funt Group and author of A Minute to Think, which describes the importance of metaphoric white space in everyone’s regular schedule. Her firm provides efficiency training to change the way we work, making it more sane, more human, and a more positive experience for all. In this Business of Functional Medicine episode, Kristen Brokaw speaks with Juliet about how this concept applies to the medical field, and we learn from the author some practical habit adjustments that can create more productive “white space.”

Download and listen to the full conversation to learn more about:

• Why we need white space to be creative, productive and decisive
• Studies showing how small breaks improve performance
• Why pushing harder does NOT always equal better results
• Practical tips to conquer busyness and communicate efficiently
• And much more!

Our guest in this episode, Greg Leyer, PhD, has an academic background in deadly pathogenic bacteria, such as botulism and other foodborne illnesses. Now, he focuses on healthy bacteria and joins James to discuss benefits of probiotics for the vaginal microbiome.

While gastrointestinal health is thought to depend on microbiome diversity, the vaginal cavity requires a more homogenous population of Lactobacillus species. By producing organic acids—mainly lactic acid—lactobacilli help maintain a pH below 4, which prevents bacterial vaginosis.

Listen to the full episode to learn more about:

• How and why taking oral probiotics affects the vaginal microbiome
• Forms of microbiome supplementation, like probiotics, spores and heat-inactivated bacteria
• Efficacy of probiotic supplementation in different geographic locations and ethnicity

And check out Dr. Leyer’s ongoing work:

• Your Health - Our Science
• UREX™ – The world’s most documented probiotics for women’s urogenital health
• Women's Health | The Probiotics Institute by Chr. Hansen

Dr. Shane Holland joins this week’s podcast to share his experience with the Practice Accelerator. Shane’s story is one we hear over and over amongst our Practice Accelerator participants. In this series, Success Leaves Clues, we celebrate alumni stories in conjunction with our current open enrollment period, running September through October 2022.

Shane began his career as a teacher and later became an emergency medicine physician, and he is currently transitioning into operating a functional medicine practice. Over the years, Shane has been interested in treating patients with chiropractic manipulation, herbs and supplements, and lifestyle adjustments. Still, he did not have access to a clear path toward building his own clinic around those strategies.  

As an emergency medicine physician, Dr. Holland observed that roughly 90% of his patients did not require emergency care and were using emergency services in lieu of primary care. The training he received from The Institute for Functional Medicine (IFM) provided him with greater clinical insights into preventative medicine to better serve his community, and the Practice Accelerator program then guided him through building his practice.  

Listen to the full episode to hear Dr. Holland’s story, including:

• The challenges he faced during his journey
• His clinic’s payment model and layout
• How the Practice Accelerator supported the launch of his new clinic
• The benefits of scheduling a concierge call with our coach, Patrick

Dr. Tom Guilliams, our go-to expert for anything related to nutrition research, returns to the Evolution of Medicine podcast for the second part of our Controversies in Nutrition series. Dr. Guilliams has written several books on the therapeutic uses of nutritional supplements.

Our guest opens the discussion by rebutting attempts by major medical journals to discredit nutraceuticals. He breaks down the weaknesses of their research and arguments, along with how the studies are biased and unscientific. He also reviews the limitations of specific nutrient biomarkers, realistic expectations for improving methylation through folic acid supplementation, and how to assess optimal vitamin D levels in individuals who receive plentiful sun exposure.

Listen to this episode if you’re interested in:

• Why treating based on genetic testing may or may not be beneficial
• The significance of tracking homocysteine levels in patients
• When to evaluate methionine levels
• The NAC controversy between the FDA and Amazon

Sandi and Steve Amoils are Medical Doctors who built a multi-disciplinary functional medicine clinic in Cincinnati, which includes chiropractors, energy healers, therapists and doctors. They talk about what first steps they took to work towards this vision, how they made their business work in a cash-based model, and why they partnered with a larger hospital system. Their clinic also runs an accredited fellowship integrative medicine program.

Download and listen to the full episode to learn more about:

• Their insights on how they became successful
• Increasing patient demand for functional healthcare
• Building credibility for functional medicine
• Why a large hospital system wants to run an integrative health clinic, and why the doctors singed onto that partnership
• And much, much more!

Dr. Shilpa P. Saxena adds to her series of Evolution of Medicine interviews with a discussion on polycystic ovary syndrome (PCOS). With both personal and professional experience reversing the condition, she walks us through the functional medicine approach to treatment.

Dr. Saxena explains how insulin resistance often accompanies and must be addressed through the “matrix” of each patient’s overall health and lifestyle. Since PCOS is a clinical diagnosis, she also describes the signs practitioners should look out for in their patients and how to confirm the diagnosis with the aid of laboratory testing.

Developing a niche in PCOS can be a great opportunity for practitioners since it is so prevalent, affecting between 6-12% of women, and because functional medicine provides the most robust treatment approach for complex metabolic conditions. 

Listen to the full conversation to learn more about:

• Tailoring treatments to patients with PCOS
• Which supplements to utilize in a PCOS treatment protocol
• Common root causes and co-conditions
• The importance of securing Phase I and Phase II detox pathways
• How group visits can be a powerful aid to treatment