by Sara Gottfried, MD, and Kari Hamrick, PhD, RD Polycystic ovary syndrome (PCOS) is a problem of hormone dysregulation that can lead to irregular menstrual cycles, high androgens, and its downstream sequelae such as acne and hirsutism, infertility, weight gain, and cardiovascular disease. As practitioners and their affected female patients anguish over the root cause and solutions, one part is very clear: up to 85% of women with PCOS are insufficient in vitamin D.1 For our patients with PCOS, correcting…

by Sara Gottfried, MD Physician burnout and suicide rates are alarmingly high.1 Some blame the two hours of charting in an electronic health record (EHR) for every hour of patient care.2-3 Others cite the rushed 7.5-minute patient appointment that limits the delivery of high-quality care.4 Numerous challenges coexist: an aging population, the rising burden of chronic disease, billing requirements, workforce shortages (particularly in primary care), increasing health disparities, and shifting healthcare policies. Many physicians feel disempowered and hopeless about the…

Host: Deanna Minich, PhD Guest: Kara Fitzgerald, ND In this discussion, Kara Fitzgerald, ND and Deanna Minich, PhD explore the active process of inflammation resolution and how to provide clinical support to quench inflammation chronicity in your patients. Dr. Fitzgerald thinks of inflammation broadly, as a complex immune response to a variety of inputs. The offensive input could be a pathogenic insult like a bacterial or viral infection, and the inflammatory response is acute and protective to the patient. But when…

by Robert Silverman, DC, MS, CNS, CCN Endurance athletes are a unique breed of athlete. Their specific energy system used during exercise requires them to eat differently than their peers. They also need to maintain adequate levels of electrolytes—before, during, and after exercise—and thus, need the support of targeted supplementation. As a sports nutritionist and Functional Medicine practitioner, I work with both competitive and amateur endurance athletes. Let’s take a closer look at what endurance athletes need to know about…

Host: Deanna Minich, PhD Guest: Jennifer Stagg, ND In this discussion, Jennifer Stagg, ND and Deanna Minich, PhD examine the relationship and connection between psychological stress and emotions with health and chronic disease states, and the mediating role that inflammation and oxidative stress play. As a naturopath, Dr. Stagg considers the whole person—mind, body, and spirit. Incorporating her robust science background in biochemistry and nutrigenomics, Dr. Stagg has discovered in clinical practice that, even when critical aspects of wellness and lifestyle…

by Sara Gottfried, MD and Bianca Garilli, ND, IFMCP Introduction We’re just starting to understand the full spectrum of toxic threats to the human body, including obesity. What’s clear is that the body doesn’t know what to do with our myriad exposures to toxins. They clog the liver, then get stored in fat, and ultimately back up into the brain. Since the brain is almost two-thirds fat (the fattiest organ in the body), it makes sense that it’s likely the…

by Bianca Garilli, ND, IFMCP Too much inflammation can be a bad thing When the topic of chronic disease comes up, the term inflammation is sure to be close behind. In fact, inflammation has received a fairly bad rap in the past years as research has underscored its prominent role in the promotion and perpetuation of many aspects of physiological dysfunction. Although not the root cause per se, inflammation has been shown to “add fuel to the fire” of a…

Host: Deanna Minich, PhD, CNS, FACN, IFMCP Guest: Deborah Maragopoulos, MN, FNP "The hypothalamus is like the CEO of your entire body. Everything else are workers." – Deborah Maragopoulos, MN, FNP In this edifying discussion, Deborah Maragopoulos, FNP and Deanna Minich, PhD explore the neuro-immune-endocrine system and how the hypothalamus, specifically, is at the core of many patients’ chronic health issues, from mood and metabolic disorders to insomnia and autoimmunity. Over 30+ years of working in healthcare, Deborah explains that her…

by Sara Gottfried, MD  Introduction Anxiety is on the rise, and it occurs more commonly in women compared with men. Identifying anxiety in patients, performing root cause analysis, and collaborating on natural solutions beyond a pill-for-every-ill requires clinicians to practice both the art and science of medicine. Fortunately, the biological underpinnings of anxiety involving the gene/environment interface, along with a growing evidence base of natural remedies, provide a strong foundation for us to help our patients. One of the most…

In this Grand Rounds presentation, Niccolò Terrando, PhD shares scientific research on the role of specialized pro-resolving mediators (SPMs) in perioperative neurocognitive disorders. Dr. Terrando uses a preclinical mouse model to study postoperative neuroinflammation and elucidate the impact of SPMs in neuroglia activity and modulating memory. Perioperative neurocognitive disorders (PND) encompass complications like postoperative delirium and longer-lasting postoperative cognitive dysfunction, which often negatively impact recovery in older adults. These complications can lead to significant, long-term morbidity for the patient and…