Over 75% of overeating can be attributed to emotional factors. Lifestyle habits can translate into an obese phenotype, but understanding the psychological underpinnings of food choices and obesity is crucial to effective obesity management. Deanna Minich, PhD, CNS, FACN, IFMCP is a Functional Medicine-trained clinician and researcher with a unique approach that combines physiology and psychology. In this talk titled “Scientific Understanding and Clinical Strategies for Eating Issues Related to Obesity,” Dr. Minich explores the role of mood in food…

Obesity, Comorbidities & Weight Change Patterns: Osama Hamdy, MD, PhD Obesity is on track to be the #1 killer in the US. Concurrent with the obesity epidemic is the rapidly growing diabetes epidemic. Environmental impact and lifestyle choices contribute to the high “diabesity” prevalence. Furthermore, epigenetic changes across generations are also playing a role. In this presentation “Obesity, Comorbidities & Weight Change Patterns,” Osama Hamdy, MD, PhD, FACE, of the Joslin Diabetes Center at Harvard, explores the evolution of dietary…

Inflammation & Resolution Physiology in Obesity: Joan Clària, PhD Unresolved, low-grade chronic inflammation triggers adipose dysfunction and is the culprit of obesity comorbidities. In this presentation “Inflammation & Resolution Physiology in Obesity,” Joan Clària, PhD explores how the resolution phase of the inflammatory response can be leveraged to resolve inflammation chronicity. He discusses in vitro and in vivo research demonstrating the distinct biological properties, pathways and actions of omega-3 PUFAs vs. specialized pro-resolving mediators (SPMs) in targeting unresolved, inflamed adipose tissue.…

by Bianca Garilli, ND Strokes are responsible for 1 out of every 20 deaths in the US – that’s ~ 140,000 Americans’ lives lost each year.1 Stroke is also a leading cause of serious, long-term disability.2 Diabetes mellitus is an independent risk factor for ischemic stroke, a form of stroke caused by inadequate blood supply (and therefore insufficient oxygen and nutrients) to a particular area of the brain. Ischemic strokes account for the majority of strokes (87%) in the US.2 Another subtype…

by Kara Fitzgerald, ND Precision medicine, which encompasses the concepts of individual uniqueness and personalized healthcare solutions, has to-date been most focused on genetics. Genetic-based differences in tumor cells, for instance, is one example of how precision medicine has started to play out. Recently the team from the Microbiome Center at the University of Chicago have argued that this definition is too narrow, and that the microbiome is another key factor in understanding and applying personalized healthcare. In their published commentary they…

by Bianca Garilli, ND  During the first years of life, an infant’s gut microbiota undergoes rapid colonization, and the microbial diversity of the growing infant results from exposure to a variety of sources.1 These microbiota sources are impacted by a variety of factors, including but not limited to: genetic underpinnings, the mother’s microbiota composition, method of delivery (vaginal vs. cesarean section), hospital and birthing environment, feeding sources (breast vs. bottle), sanitation of environments exposed to, and antibiotic use.1 By 2-5 years…

Most clinicians know that patients who present with complaints and symptoms indicative of gastroesophageal reflux diseases (GERD) can be amongst the most challenging to diagnose since they mimic so many other conditions and, are often the most difficult to effectively treat. Symptoms indicating reflux diseases are also increasingly more commonly being diagnosed  in the clinician’s office and often directly attributed to the weakness of the gastroesophageal juncture (EGJ) which begins at the terminal end of the esophagus and beginning of…

A large population-based study of patients with type 2 diabetes (T2D) indicates that achieving a greater number of “ABC” targets (A: HbA1c; B: blood pressure; C: LDL-cholesterol) incrementally reduced the risk of cardiovascular disease (CVD). However, not all ABC risk factors were of equal importance in CVD risk reduction.1 For adults with T2D, the American Diabetes Association (ADA) recommends maintaining optimal levels of all three ABC risk factors: HbA1c < 7%, blood pressure < 130/80 mm Hg, and LDL-C < 100 mg/dL.2 This…

Results from a recent small randomized clinical trial found that a combined probiotic and peanut oral immunotherapy (PPOIT) may potentially be an effective option to manage children with peanut allergy and the treatment effect may last for at least 4 years.1Previously, researchers at the Murdoch Children’s Research Institute (Melbourne, Australia) conducted a randomized, double-blind, placebo-controlled trial to investigate the effect of PPOIT in 62 children with peanut allergy. For 18 months, children received either placebo or PPOIT (2 x 1010 CFU of Lactobacillus…

The American Heart Association (AHA) and the American Stroke Association (ASA) recently compiled their joint guidance that outlines 7 factors to be implemented in maintaining optimal brain health in adults. The joint advisory board notes that a healthy lifestyle benefits the brain as much as the body. Both the brain and the heart need adequate blood flow but atherosclerosis – narrowing and blocking of the arteries—can occur with aging and is the root of heart attacks and strokes. The 7…