functional medicine and nutritional genomics - American Association ...

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