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Blogs, Foundational, Functional Medicine

by Sara Gottfried, MD and Kari Hamrick, PhD, RD Did you grow up with our parents who told you that breakfast is the most important meal of the day?  The word “breakfast” come from breaking the overnight fasting period, and replenishing the body with a supply of glucose and other nutrients. It implies a period of metabolic rest that we know from ancestral health is beneficial, but in recent time, that period has shortened. While physicians and dietitians have touted…

by Sara Gottfried, MD and Kari Hamrick, PhD, RD Did you grow up with our parents who told you that breakfast is the most important meal of the day?  The word “breakfast” come…

Blogs, Cardiometabolic, Functional Medicine

 by Mark Houston, MD and Sara Gottfried, MD A precision and personalized medicine approach to dyslipidemia and dyslipidemia- induced cardiovascular disease—including high LDL cholesterol, elevated triglycerides, low high-density lipoprotein (HDL) and HDL function, and other related cardiometabolic conditions such as insulin resistance and metabolic syndrome—is completely different from the conventional medicine approach. In this article, we will review the major paradigm shift that has emerged in the past 10 to 15 years regarding HDL, which is best known for its…

 by Mark Houston, MD and Sara Gottfried, MD A precision and personalized medicine approach to dyslipidemia and dyslipidemia- induced cardiovascular disease—including high LDL cholesterol, elevated triglycerides, low high-density lipoprotein (HDL) and HDL function,…

More than 300 years after farmers had begun growing hemp as a staple crop in the United States, the endocannabinoid system (ECS) was discovered in the 1990s by researchers studying bioactive compounds in the Cannabis sativaplant. Since that time, cannabinoid receptors have been discovered in many different areas of the human body, such as the brain, digestive tract, and immune system, to name a few. Research continues to reveal diverse physiological functions of the ECS, unique properties of endogenous (endocannabinoids) and…

More than 300 years after farmers had begun growing hemp as a staple crop in the United States, the endocannabinoid system (ECS) was discovered in the 1990s by researchers studying bioactive compounds in…

Blogs, Foundational, Functional Medicine

by Sara Gottfried, MD and Elnaz Karimian-Azari, PhD The endocannabinoid system is a fascinating network involved in regulating many physiological, homeostatic, and cognitive functions—including appetite, immune function, pain, metabolism and energy balance, stress response, anxiety, mood, fertility, pregnancy, pre- and postnatal development, memory, and neurogenesis, as well as the well-known pharmacological effects of cannabis.1,2 In our developing understanding of network medicine, it’s important as clinicians to understand that the endocannabinoid system plays a role far beyond getting high and impacts…

by Sara Gottfried, MD and Elnaz Karimian-Azari, PhD The endocannabinoid system is a fascinating network involved in regulating many physiological, homeostatic, and cognitive functions—including appetite, immune function, pain, metabolism and energy balance, stress…

Blogs, Foundational, Functional Medicine

by Sara Gottfried, MD Monday, 7:50 a.m. Cup of coffee in hand, I walked into my office and shut the door. I sat at my desk and reviewed my schedule of patients for the day. I was on call for my group of 14 obstetricians/gynecologists. There were 26 patients on the schedule, and several urgent slots remained open for the problems I’d triage throughout the day with the nurse manager and medical assistants. I could hear the clunk of messages…

by Sara Gottfried, MD Monday, 7:50 a.m. Cup of coffee in hand, I walked into my office and shut the door. I sat at my desk and reviewed my schedule of patients for…

Blogs, Cardiometabolic, Functional Medicine

by Sara Gottfried, MD; Kari Hamrick, PhD, RD; Lewis Chang, PhD We all know that it’s time for mainstream science to investigate—rigorously and on a large scale—whether eating a particular diet can help reduce or reverse chronic disease. While we have growing evidence on the Mediterranean diet, we know little about the molecular benefits and risks of eating certain foods, not eating specific macronutrients, or other emerging condition-based protocols that involve nutritional modulation, particularly related to insulin and glucose signaling.…

by Sara Gottfried, MD; Kari Hamrick, PhD, RD; Lewis Chang, PhD We all know that it’s time for mainstream science to investigate—rigorously and on a large scale—whether eating a particular diet can help…

Emily Rydbom, CN, BCHN, CNP poses the question, “What do we know about the current care for pregnancy nutrition in the US today?” There are three basics we tell pregnant women: “Take your prenatal, don’t gain too much weight, and eat healthy foods.” Rydbom explains that although these recommendations sound like three simple tasks, if pregnant women do not have the resources or the knowledge of what to do, this can be an overwhelming and disempowering conversation. Rydbom shares key clinical…

Emily Rydbom, CN, BCHN, CNP poses the question, “What do we know about the current care for pregnancy nutrition in the US today?” There are three basics we tell pregnant women: “Take your prenatal,…

Foundational, Functional Medicine, Pulse Patrol

Host: Deanna Minich, PhD Guest: Carrie Jones, ND, MPH “Hormones control so much of who we are.” - Deanna Minich, PhD In this discussion, Carrie Jones, ND, MPH and Deanna Minich, PhD explore the nitty gritty of hormones, which control and impact so many body functions and health conditions. They delve into estrogen metabolism and detoxification pathways and how that biochemistry impacts our physiology and can manifest as hormonal symptoms. Dr. Jones opens the discussion by making an important distinction—differentiating the…

Host: Deanna Minich, PhD Guest: Carrie Jones, ND, MPH “Hormones control so much of who we are.” - Deanna Minich, PhD In this discussion, Carrie Jones, ND, MPH and Deanna Minich, PhD explore the…

Foundational, Nutritionists, Pulse Patrol

Host: Deanna Minich, PhD Guest: Rob Silverman, DC As literature and clinical discussions on the ketogenic diet continue to grow across the globe, Robert Silverman, DC and Deanna Minich, PhD are infusing nuance and pragmatism into an important discussion on the ketogenic diet approach (“keto”) in clinical practice. First, Dr. Silverman defines keto (in his clinical practice) as 75% fat, 20% protein, and 5% carbohydrates (< 50g per day) and differentiates “dirty” vs. “clean” keto. The latter focuses on healthy fats,…

Host: Deanna Minich, PhD Guest: Rob Silverman, DC As literature and clinical discussions on the ketogenic diet continue to grow across the globe, Robert Silverman, DC and Deanna Minich, PhD are infusing nuance and…

Leslie Stone, MD, IFMCP and Emily Rydbom, CN, BCHN, CNP Leslie Stone, MD has delivered thousands of babies during her 30-year practice in obstetrics and gynecology. This has given her great insights into common morbidities of pregnancy. In this MAPS talk, Dr. Stone examines variables that impact intrauterine health, including stress, nutritional deficiencies, and genetic variations, and explains how she leverages cofactors to maximize outcomes. Dr. Stone and Emily Rydbom, CN, BCHN, CNP have developed a program that has achieved clinically and statistically significant…

Leslie Stone, MD, IFMCP and Emily Rydbom, CN, BCHN, CNP Leslie Stone, MD has delivered thousands of babies during her 30-year practice in obstetrics and gynecology. This has given her great insights into common…

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