functional medicine and nutritional genomics - American Association ...
functional medicine and nutritional genomics - American Association ...
functional medicine and nutritional genomics - American Association ...
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AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS<br />
Intervention<br />
Spread out 4 meals <strong>and</strong> 2 snacks per day<br />
Spread protein intake through-out the day<br />
Decrease intakes of processed <strong>and</strong> fast foods<br />
Keep a food/symptom diary<br />
Supplementation:<br />
� Discontinue PPI (proton pump inhibitor)<br />
stop eating 2-3 hours before bed<br />
� Short term use of free-form amino acid<br />
supplements (morning <strong>and</strong> afternoon<br />
dosing)<br />
� Digestive enzymes with meals (not<br />
snacks)<br />
� Consider a shot glass of apple cider<br />
vinegar after large meals to lower stomach<br />
acid<br />
� Good quality multi-vitamin mineral<br />
supplement<br />
� Iron supplement with vitamin C<br />
Follow-up:<br />
The patient felt better after 10 days of treatment,<br />
<strong>and</strong> back to normal after 3 months. The patient<br />
stopped the free-form amino acids <strong>and</strong> apple cider<br />
vinegar shots with large meals after 6 weeks. She<br />
continued with the digestive enzyme <strong>and</strong> iron<br />
supplement. She worked to make sure she got<br />
adequate protein sources <strong>and</strong> spread out her<br />
protein intakes. It is not uncommon for patients to<br />
eat good diets but due to impaired digestion, age<br />
or medication not have adequate nutrient status.<br />
Elizabeth Redmond is the current Professional<br />
Advancement Chair <strong>and</strong> incoming Chair Elect of<br />
the Dietitians In Integrative <strong>and</strong> Functional<br />
Medicine (DIFM) a practice group of the<br />
Academy of Nutrition <strong>and</strong><br />
Dietetics www.IntegrativeRD.org. Additionally she<br />
was a member of St<strong>and</strong>ards of Practice<br />
(SOP) <strong>and</strong> St<strong>and</strong>ard Of Professional Practice<br />
(SOPP) working group for DIFM, as well as a<br />
board member of the credentialing application.<br />
Dr. Redmond received her Master of Medical<br />
Science in Clinical Nutrition from Emory University<br />
in Atlanta, <strong>and</strong> her doctorate in Nutrition from the<br />
University of Georgia. She has worked in public<br />
health, research, <strong>and</strong> private practice. Her research<br />
interests have included dietary effects of cancer,<br />
42<br />
<strong>and</strong> diabetes translation, though she has worked,<br />
written <strong>and</strong> spoken on a variety of nutrition<br />
subjects. She currently works at Metametrix<br />
Laboratory as the Education Coordinator, <strong>and</strong> has<br />
a private practice in Atlanta, GA. Her private<br />
practice focuses on clinician education <strong>and</strong><br />
mentoring,<br />
Contact Elizabeth Redmond at<br />
eredmond@metametrix.com or 678-638-2954.<br />
Website: www.RedmondRules.com<br />
References:<br />
1. Ford, D., et al., <strong>American</strong> Dietetic<br />
<strong>Association</strong>: st<strong>and</strong>ards of practice <strong>and</strong><br />
st<strong>and</strong>ards of professional performance for<br />
registered dietitians (competent, proficient,<br />
<strong>and</strong> expert) in integrative <strong>and</strong> <strong>functional</strong><br />
<strong>medicine</strong>. J Am Diet Assoc, 2011.<br />
111(6): p. 902-913 e1-23.<br />
2. Richard Lord, J.A.B., ed. Laboratory<br />
Evaluations for Integrative <strong>and</strong> Functional<br />
Medicine Second Edition. 2008, Metametrix<br />
Institute: Duluth, GA.<br />
3. Ames, B.N., Optimal micronutrients delay<br />
mitochondrial decay <strong>and</strong> age-associated<br />
diseases. Mech Ageing Dev, 2010.<br />
131(7-8): p. 473-9.<br />
4. Ames, B.N., Prevention of mutation, cancer,<br />
<strong>and</strong> other age-associated diseases by<br />
optimizing micronutrient intake. J Nucleic<br />
Acids, 2010.<br />
5. Ames, B.N., Low micronutrient intake may<br />
accelerate the degenerative diseases of<br />
aging through allocation of scarce<br />
micronutrients by triage. Proc Natl Acad Sci<br />
U S A, 2006. 103(47): p. 17589-94.<br />
6. Belanger-Quintana, A., et al., Up to date<br />
knowledge on different treatment strategies<br />
for phenylketonuria. Mol Genet Metab,<br />
2011.<br />
7. Fiege, B. <strong>and</strong> N. Blau, Assessment of<br />
tetrahydrobiopterin (BH4) responsiveness in<br />
phenylketonuria. J Pediatr, 2007. 150(6):<br />
p. 627-30.<br />
8. Nalin, T., et al., Optimized loading test to<br />
evaluate responsiveness to tetrahydrobiopterin<br />
(BH(4)) in Brazilian patients with<br />
2012