Personalized medicine for the 21st century
The goal of integrative and functional medicine is to get to the root cause of health problems and treat the whole person with a combination of approaches—optimizing health for those who have it and restoring health for those who have lost it.
Functional medicine and integrative medicine are often used interchangeably, but the terms are actually referring to two different approaches to patient care. Integrative medicine takes a broad view of a patient’s past history and current health and the person’s place in his or her family, workplace, and community, including a heavy emphasis on nutrition, lifestyle and the effects of stress.
When evaluating a new patient, an integrative medicine doctor incorporates the best interventions of traditional medicine, but opens up the vaults of knowledge about alternative and complementary therapies. This allows the integrative practitioner to offer a wide array of options in the treatment and prevention of chronic disease, including knowledge of and when to pursue:
- Acupuncture and traditional Chinese medicine
- Chiropractic manipulation, also known as osteopathy
- Tai chi
- Western herbalism, supplements and vitamins
…and many more disciplines.
Integrative medicine encompasses the functional medicine approach, which reorganizes clinical data and traditional thinking about how to characterize a patient’s health, and current chronic medical problems. When faced with complicated health issues that have not responded to routine traditional medicine treatment, functional medicine provides an alternative. By thinking of the patient’s mind and body as a web of interconnected systems—rather than just organs acting separately—a physician gains great insights into the underlying root causes of a person’s ill health, and can use unique prescription or non-prescription therapies to reverse chronic illness or prevent it from progressing while still in an early stage. This may include detailed history taking, physical exam, and the use of advanced laboratory testing beyond that usually offered by a traditional medicine doctor. Find out more about functional medicine (PDF).
Bob Denitzio, MD, is both an integrative and functional medicine doctor with 34 years in practice in traditional medicine, including experience with women’s health. He begins each patient relationship with an in-depth conversation about your health and a basic wellness evaluation.
Basic wellness evaluation with an integrative medicine doctor
A wellness evaluation includes a discussion of diet and lifestyle, alternative diet approaches, and a review of your fitness goals and activities. During your wellness evaluation we’ll also review any medical problems you might be having and explore ways to better manage your condition(s). Your wellness evaluation further includes:
- Discussion of life stresses and methods of relaxation
- Analysis of current nutritional supplements and assessment of any need for vitamins, supplements, botanicals
- Bioelectrical impedance analysis (BIA), a measurement of body fat/lean muscle ratio and discussion of findings
- Demonstration of HeartMath technology to improve mental and emotional well-being
Learn more about working with a functional medicine practitioner (PDF).
Comprehensive functional medicine evaluation to find causes of health problems
Patients may further wish to see a functional medicine doctor for autoimmune conditions, such as lupus or rheumatoid arthritis, or for chronic disease management, including diabetes, prediabetes, hypertension, high cholesterol, heart failure, or any number of conditions. With the goal of crafting unique solutions for each patient, we evaluate for:
- Depression, anxiety
- Fatigue, fibromyalgia, migraines, chronic pain
- Gastrointestinal problems (reflux/GERD, irritable bowel syndrome, small intestinal bacterial overgrowth) and use of probiotics
- Overweight and obesity (adults and children)
- Cardiometabolic syndrome (metabolic syndrome)
- Prevention of Alzheimer disease
A functional wellness evaluation is also useful for diagnosis and treatment of:
- ADHD (adults and children)
- Environmental toxins (heavy metals, mold, and persistent organic pollutants) in the body
- Complications of the treatment of Lyme disease (post-Lyme syndrome)
- Thyroid and adrenal gland hormone imbalances (Hashimoto’s thyroiditis, stress hormone excess or adrenal exhaustion)
We further specialize in women’s health, providing breast cancer risk assessment, and evaluation for conditions such as premenstrual syndrome (PMS) and polycystic ovarian syndrome, and insulin resistance. We also work with perimenopausal, menopausal, and postmenopausal women—as well as men—providing hormone replacement therapy in collaboration with your family doctor, urologist or gynecologist.
Functional and integrative medicine for disease prevention
Depending on your health history and current needs, we may examine and make recommendations to help prevent disease. This may include:
- Cardiovascular risk assessment for prevention of heart attack
- Detox diets and elimination diets for weight loss and improved health
- HeartMath stress reduction techniques
- Prevention of diabetes and treatment of prediabetes and fatty liver
You may also benefit from these integrative medicine services:
- Dry needling – This is an alternative therapy involving use of thin filament needles to release painful trigger points within muscle groups suffering from overuse or acute injury. Dry needling benefits include muscle pain relief, increased range of motion, and faster recovery from injury. It is often combined with physical therapy or massage. Acupuncture and dry needling use similar types of needles, but dry needling focuses on the body’s “trigger points” or bands of tissue within the muscles. Learn more about dry needling procedures.
- Diet and nutrition assessments – The integrative MD can test for nutritional deficiencies and metabolic imbalances with advanced laboratory assays, and help you discover the most appropriate way of eating for your body, your health, and your lifestyle, including:
- Low carb/ketogenic diets
- Dr. Andrew Weil’s anti-inflammatory Mediterranean diet
- Gluten-free and other elimination diets
- Low-glycemic index diets
- Genetic testing – This may include APOE testing for Alzheimer’s disease and heart disease; MTHFR disease testing (cardiovascular risk, methylation, and folic acid problems); Genesight (genetic testing for depression, anxiety, and ADHD medications), neurotransmitter analysis, and detoxification enzymes (to determine how your body processes drugs and environmental toxins).
Other types of testing we may recommend include comprehensive stool exams and microbiome analysis, urine organic acids and oxidation status testing, and micronutrient profiles.
Your first visit with an integrative and functional medicine doctor
To better understand your health history and lifestyle, Dr. Denitzio spends time getting to know you in an information-gathering session that lasts approximately 75 to 90 minutes. During this first appointment, the doctor may also perform a physical exam, and additional lab work may be recommended. After thoughtful consideration of your history, physical exam and lab work, the doctor will generally want to see you again in a few weeks to review his findings and make recommendations for diet, lifestyle, supplementation, and any other therapies that may be helpful.