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

Michael Fishman is a top advisor on marketing and business growth, aiding successful health and wellness companies. He leads the Consumer Health Summit (CHS) annually, which is now in its 24^th year, and acts as an angel investor for over 20 health and wellness businesses. With his expertise, he advises his clients on how to effectively formulate their brand messaging and ensure it is communicated consistently, from training team members to sharpening taglines and from online messaging to in-person trust. In this episode of the podcast, Michael shares with Kristen Brokaw the principles and psychology behind his guidance.

Tune in if you’d like to learn more about:

• How and why you need to develop a powerful tagline
• Avoiding overselling or “trying too hard” in online marketing
• Ensuring that your message cannot be misunderstood by your audience
• Why patients also need to feel understood—emotionally and intellectually
• And much more!

Functional medicine providers have the best tools and scientific understanding of topics like immunology, the microbiome and mitochondria. This constellation of knowledge and tools makes functional and integrative doctors optimally equipped to address osteoarthritis. Dr. Thomas Guilliams is an expert in nutrition research and immunology, and he has written several books on the therapeutic uses of nutritional supplements.

During this conversation, we hear about the gut-joint relationship and an expanded understanding of osteoarthritis. We also explore best practices for nutrition and supplementation alongside lifestyle modifications to resolve chronic conditions.

Listen in to learn more about:

• The evolution of the scientific understanding of osteoarthritis
• Issues with nutrition and supplementation research
• Addressing autoinflammatory conditions (as differentiated from autoimmunity)
• Guilliams’ take on the paleo dietary pattern
• And much more!

Josh Gunn, PhD is the Chief Scientific Officer for Ethos Laboratories. Ethos began with the mission to incorporate more functional medicine principles into conventional care and to help patients gain access to the root causes of their pain. 

With a background in forensic toxicology, Dr. Gunn and the team have developed a new tool at Ethos called the Foundation Pain Index. The Pain Index is a biometric test designed to identify potential biochemical origins of patients’ chronic pain. The test results categorize health insights in a way that is actionable for all physicians, even if they are not trained in functional medicine. This personalized method also acknowledges that patient recovery often requires a multimodal approach, including lifestyle and community considerations.

Practitioners who run OAT tests or other labs may already have access to some of these data points, but uniquely, the Foundation Pain Index test is covered by Medicare, Medicaid and most insurance plans. This is especially important for chronic pain patients with a lower socioeconomic status because statistically they have been over-prescribed opioids.

The full conversation is densely packed with insights such as:

• Socioeconomic factors are strong factors in opioid over prescription, misuse and abuse  
• Why it is essential to bring elements of functional medicine into conventional care
• How nutrient depletion may contribute to pain
• An interdisciplinary approach is required to help patients with chronic pain
• And much more

James interviews Michelle Simon, PhD, ND, president and CEO of the Institute for Natural Medicine (INM). Dr. Simon sees an increasing awareness that our current healthcare system is not delivering the results we need. She advocates for alternate solutions through her work with INM.

Some have argued that iatrogenic disease is the third-largest cause of death in America. Applying the Therapeutic Order, which is a guiding principle for naturopathic medicine, can reverse that trend. Naturopathic medicine combined with the group visit model has the potential to address most of the population’s health issues. It is an excellent option to improve healthcare on a large scale. 

Listen to the full conversation to learn about:

• The Therapeutic Order: what it is and why its important
• The reasons we need to change how we view primary care
• A new residency program for naturopathic doctors
• Projects that the Institute for Natural Medicine is working on
• How lifestyle and naturopathic medicine prevent iatrogenic disease

This week’s podcast is a series of interviews with a handful of physicians who are involved with the Institute for Functional Medicine (IFM). Dr. Luby is the Director of Medical Education Initiatives at IFM, which works to scale functional medicine and make it more accessible and easier to adopt into larger healthcare systems. The pandemic brought to light weaknesses in our healthcare system for which functional medicine offers solutions!

Dr. Penn is an infectious disease specialist and works in epidemiology and infection prevention at Nebraska Methodist Hospital. He has worked closely with Dr. Luby, and Dr. Penn is planning to implement more of the IFM’s principles into his healthcare system. Dr. Nancy Cutter and Sharon Williams are from the Veterans Affairs (VA) in New Jersey. They are also working towards integrating lifestyle medicine into their systems in part by utilizing group visits.

Listen to the full panel discussion to learn more about:

• The benefits offered by functional medicine for the VA in New Jersey
• The problems in our healthcare system, which functional medicine can help
• How Nebraska Methodist Hospital has seen the IFM’s principles improve their COVID outcomes
• And much, much more!