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Here's the truth that the established allopathic medical community wants to keep under wraps: THEY HAVE NO ANSWER for the thousands and thousands of people suffering with these diseases. They have two (2) tools in their black bag: Drugs and Surgery.
Hit by a car crossing the sidewalk? Fall out of your bedroom window? Have a dissecting aneurysm that's about to blow? The established allopathic medical community has the answer.
Suffering from debilitating fibromyalgia? Experiencing out of control hypertension? Overwhelming depression or anxiety? Agonizing arthritis? How about Chronic Fatigue Syndrome, Asthma, Allergies, Lupus, Rheumatoid Arthritis, Diabetes, Crohn's Disease, Heart Disease, the list goes on and on. THEY HAVE NO ANSWER.
There are a lot of people who buy into the delusion that the established medical community has all the answers but there are also thousands and thousands of people who are sick and tired of having their doctors spend a few minutes with them and write a prescription for a drug that is only going to take away their symptoms and does nothing to get to the true cause of what ails them.
But nowadays it's not just the doctors. Everywhere you turn you read and view advertisements on this or that drug or supplement that provides symptomatic relief for XYZ disease.
Most physicians spend the majority of their time diagnosing and treating symptoms, which are the gross appearance of disease.
Symptoms are the way the body speaks to you. They are signals. Treating symptoms is like smashing the brake light that's lit on the dashboard and thinking that you are somehow fixing the problem.
It doesn't matter if the treatment is a prescriptive drug or some natural supplement or herb, the focus is still on seeking temporary symptomatic relief and NOT identifying the underlying cause of the illness. Drugs and surgery are not the answers.
It's obvious that millions of people know that the established allopathic medical community don't have the answer or they wouldn't be looking online for an alternative way of dealing with their problems.
The good news for us and our patients is...
Functional Diagnostic Medicine is the new health model of the 21st century. This is a bold statement we know but it's true.
Doctors who embrace Functional Diagnostic Medicine are forward thinking practitioners who ask different questions about how to better treat the chronically ill patient who otherwise slips through the cracks of conventional allopathic medical diagnosis and treatment.
They look at the totality of the patient's experience, they gather information from multiple areas of the body, they have a firm belief in the interconnectedness between the different systems of the body, they have a unique understanding of the biochemical individuality of each patient, and you know what? They think outside of the box.
It's all very well to tell you about it, it's quite another thing to show you, so let's pull back the curtain right now and show you exactly how to approach patients from the Functional Diagnostic Medicine perspective.
WARNING: These cases do not follow a cookbook approach to healing. They illustrate the thinking process that you must go through with each and every one of your patients. If you are looking for quick fixes then do yourself a favor and stop reading right now.
Patient: Pat
Age: 74
Pat is a 74 year old female from New York City. In 2001 she went to see her primary allopathic M.D. complaining of hives, irritability, brain fog and abdominal pain. She was given the "all clear" from her primary M.D. in New York after a full abdominal work-up and colonoscopy revealed nothing wrong. She decided to consult with Dr. Grisanti in July of that year.
After reviewing her symptom questionnaire and her past medical records, Dr. Grisanti ordered a series of functional lab tests, including a Comprehensive Candida Profile, an Intestinal Permeability Test, a Mucosal Barrier Test, and a Urine Indican Test. The results came back indicating a significant dysbiosis, intestinal hyperpermeability and an altered mucosal barrier. Dr. Grisanti prescribed an individualized treatment plan using diet, lifestyle changes, and botanical and nutritional therapies designed to correct the dysbiosis and heal the mucosal barrier.
Unfortunately Pat was not the most compliant patient and after a few months she failed to follow-up with her regular phone consults.
It wasn't until 2004 that Pat got in touch with Dr. Grisanti again. In the intervening years Pat had begun to suffer from anxiety, not just simple anxiety but debilitating anxiety and panic attacks so strong that her whole life was changed.
For three years she battled with this condition. She took over the counter natural remedies, tried meditation, hypnosis and other treatments. She consulted with a chiropractor who practiced the typical disease specific approach rather than the patient specific approach and suggested that Pat try a combination of an herbal remedy of valerian root and passionflower.
The chiropractor even sold Pat on a series of 24 adjustments stating, "a C1 subluxation was one of the main reasons for her anxiety".
None of this helped because the true cause of her anxiety was not being addressed. She and her health care practitioners in New York City saw the anxiety as her problem and were looking for things that would "take her anxiety away".
Unfortunately, Pat's condition got so bad that she had to be admitted to a psychiatric facility and due to the severity of the anxiety, she was prescribed a benzodiazepine (Ativan) and an antidepressant (Zoloft).
Although she had some relief on the above medications, she still had "break-through" anxiety episodes.
When Pat finally decided to consult with Dr. Grisanti again she was on 100 mgs of Zoloft and 3 mgs of Ativan.
One week before the initial consultation, her psychiatrist recommended increasing the Ativan to 4 mgs and replacing the Zoloft with another psychotropic drug.
As you can imagine, Pat was at her wits end and wanted a second opinion. She remembered that she had sought out Dr. Grisanti's help for her abdominal complaints and knew he had a reputation for being able to solve the most difficult cases and was hoping to see if he could figure out the underlying cause of the anxiety.
After completing his thorough intake forms and reviewing her case, Dr. Grisanti decided to order some functional medicine lab tests.
The results of these tests were quite revealing and allowed him to zero in on the underlying cause(s) of Pat's anxiety.
The adrenal stress index is one of the most important test to order when starting your investigation of anxiety.
The adrenal glands produce two hormones in response to stress. One is cortisol and the other is DHEA.
Without going into the biochemical relationship of cortisol and anxiety, it is important to simply understand that abnormal levels of cortisol (elevated or depressed) play a major role in uncovering the cause(s) of anxiety.
Take a look at the following adrenal test Dr. Grisanti ordered on Pat in July 2004. As you can see, her cortisol levels were out of control.
The test measures 4 cortisol readings at 8 AM, Noon, 4 PM and Midnight. You can just about make out the 4 dots at the top of Figure 1 in the lab report below. These are values that are way out of the optimal range.
Review of the following actual lab tests reveal significant elevation of all cortisols. Take a look at Pat's accumulative cortisol of 184.
No wonder she was suffering with anxiety!
One of the key nutrients used in the treatment of elevated cortisol is Phosphatidylserine.
Phosphatidylserine has been found to desensitize the Hypothalmic-Pituitary-Axis to elevated cortisol and along with other stress-reduction techniques this nutrient played a big role in helping Pat to reduce her cortisol levels.
Although Pat achieved a significant improvement, one question still had to be answered ...
It's clear that her high cortisol levels were not due to a phosphatidylserine deficiency. As a good Functional Diagnostic Medicine practitioner Dr. Grisanti had to look deeper for the underlying cause. He had to ask himself, after receiving the results of Pat's Adrenal Stress Index, "what was the cause(s) of these elevated cortisol levels?"
To determine this, you need to have a good understanding of the underlying physiology of the body and begin to do some detective work:
First and foremost prolonged psychological stress could be a factor. However, this is not the only cause. Here is short list of "stressors" associated with high cortisol levels that should be ruled out.
Food sensitivities
Environmental and chemical toxicities
Bacterial and parasitic GI infections
Fungal (candida) infections
Like a good medical detective, Dr. Grisanti looked at the available information already collected from Pat. He remembered that Pat had consulted with him back in 2001 for a functional G.I. complaint and testing back then had shown a significant dysbiosis, intestinal hyperpermeability and an altered mucosal barrier. She admitted that she had never followed through with his treatment protocol so it was very likely that she still had dysbiosis and intestinal hyperpermeability.
Based on Pat's medical history, Dr. Grisanti had a strong suspicion that part of her problem was linked to a functional disorder of the gut.
As documented in the remarkable book Second Brain: A Groundbreaking New Understanding of Nervous Disorders of the Stomach and Intestine by Michael Gershon M.D., there is a strong relationship between anxiety, depression and problems with the functional health of the gut.
Here is a copy of the serum candida antigen test results he ran on Pat back in 2001:
Take a good look at these results!
There is no question we have a patient with a serious candida infection. One look at the IgG at 9800 and the positive candida PCR shows us a patient with widespread candidiasis.
Armed with the results of this lab test Dr. Grisanti approached Pat's primary physician because he knew that it was in Pat's best interest to work closely with her M.D.
Luckily he was open-minded and on reviewing the above lab test results he agreed to co-manage Pat's case with Dr. Grisanti.
He prescribed Fluconazole (Diflucan).
This was rotated with an anti-candida natural product, a comprehensive candida treatment protocol and of course the protocol prescribed to restore the cortisol levels.
Over the following months, Dr. Grisanti continued to monitor Pat's condition and was happy to say that she was able to slowly wean herself off the Ativan and Zoloft.
Here's a copy of a follow up Adrenal Stress Index test run in November, 2004
Below is a chart of the above cortisol values from the initial test and the follow-up. Make note of the improvement in the morning, evening cortisol levels and her total cortisol. It so happened that Pat suffered her greatest anxiety breakthroughs first thing in the morning. Dr. Grisanti was happy to see Pat's morning cortisol drop within the normal range at 20 on the follow-up test.
Pat's improvement clearly correlated with the reduction of the elevated cortisol.
Pat's response to treatment was simply outstanding. By casting his assessment net wide enough and by not just using a supplement to reduce the elevated cortisol levels Dr. Grisanti was able to close the case.
She continues to progress and has been anxiety-free for the last four years.
Patient: Lisa
Age: 33 year
I vividly remember my office manager, Debbie, telling me that a patient from Washington state wanted to see me for fibromyalgia. I was not sure what I was in store for but I had a good idea when Lisa had her medical records shipped to my office in a large box. I must admit I was somewhat surprised to see over 700 pages of medical records neatly organized in a chronological fashion. Lisa also included in the shipment her medical questionnaire she received from us
It is my policy to obtain a completed comprehensive medical questionnaire in addition to any and all medical records specific to the patient's primary physical complaint before the patient is scheduled to see me.
Here is an abbreviated summary of Lisa's medical
records and medical questionnaire.
First and foremost, Lisa was suffering with the following symptoms for
over five years before consulting with me:
Her present and past medical history indicated that she had been under the care of five medical physicians (internist, neurologist, rheumatologist, psychiatrist and a physical medicine specialist). Treatment was symptomatically oriented including the following medications: Fentanyl (opioid analgesic with a potency approximately eighty times that of morphine.), diazepam, amitriptyline, hydromorphone, sudafed, lactulose, docusate sodium.
Lisa was told over and over again that she was suffering from a variety of issues including fibromyalgia, allergies, depression, spastic colon, IBS and stress.
Lisa also consulted with two chiropractors, an acupuncturist, energy medicine, massage therapist and a nutritionist all to no avail. She did comment that one of the chiropractors had her scheduled to be seen four days a week for five weeks with a reduction to three times a week for another six weeks. She mentioned that the treatment consisted of no more than a light instrument adjustment to her cervical spine. The nutritionist recommended a variety of supplements including: S-Adenosylmethionine (SAMe), magnesium, malic acid, 5-hydroxytryptophan (5-HTP), digestive enzymes, turmeric and cordyceps.
Unfortunately, Lisa’s condition continued to worsen.
When Lisa finally landed in Greenville, South Carolina she was confined to a wheelchair and to be quite honest, desperate for help.
Both conventional medicine and alternative medicine were unsuccessful in helping her recover from her deliberating disease.
She was praying for a miracle and was betting on me to be her last hope.
Talk about a heavy load on your mind…
Prior to Lisa flying in to see me, I did my due diligence and painstakingly reviewed each and every page of her medical records including carefully studying her completed medical questionnaire.
Boy was this an eye-opener.
Review of her entire medical records revealed a thinking process that is akin to no thinking at all. I may be harsh but the course of 700 pages of medical records revealed an ominous flow of deciding what next drug to give her for pain relief.
Of course the alternative medical record review was no better with the only exception was the fact that the doctors she consulted with sincerely “thought” they was zeroing in on the cause of her suffering.
How off they were will be shown by the “CSI” thinking process of functional diagnostic medicine.
First and foremost it was imperative to identify the primary, secondary and tertiary physiological and biochemical dysfunctions which lead Lisa to her poor state of health.
Review of her records, medical questionnaire, in-office comprehensive physical and functional diagnostic examination including updated blood test clearly provided a direction to aid Lisa toward a favorable resolution of her long-standing illness.
Of course, the thinking process I incorporated goes way beyond simply searching for the best drug or supplement, but instead seeks to zero-in on the physiological glitches her body has succumbed to.
This was a daunting and challenging case but one that I wanted to crack.
With all the above said, here is what evolved from my review. I had a very strong suspicion that the following issues were directly or indirectly linked to her challenging health condition:
Cortisol/DHEA Depletion
Significant depression of Secretory IgA resulting in mucosal integrity problems
GI compromise with probable dysbiosis
Compromised detoxification
Fatty acid imbalance.
These were the key physiological and biochemical factors that needed to be objectively evaluated in order to identify the best course of action.
A quick side note is the fact when patients are suffering with debilitating conditions that destroy their ability to function in society, patients are super willing to pay the necessary fee for lab testing.
That being said, Lisa completed all the above functional diagnostic lab tests while in Greenville then flew home to await the results.
After approximately 2 weeks I received all her functional diagnostic labs and here is what was found:
This test revealed a significant compromise of the cortisol output revealing a Stage 3 adrenal exhaustion. Her total cortisol of 12 was alarming.
Comments: Cortisol is the primary hormone that directs immune function and is involved in virtually all aspects of body function. Cortisol and DHEA are also involved in carbohydrate, protein and fat metabolism; eicosanoid modulation; detoxification capacity; endocrine function; and the health of muscle, bone and neural tissues.
An abnormal adrenal rhythm can negatively influence energy production; immune system health; skin regeneration; muscle and joint function; bone health; sleep quality; and liver, pancreas, and thyroid function.
Lisa's primary physician had the good sense to order a G.I. Health panel from Diagnostech and this was part of Lisa's extensive medical records. The results showed that Lisa had significant depression of her secretory IgA levels, which leads to a compromised mucosal integrity.
It is important to understand that cortisol directs the production of special immune cells called immunocytes responsible for the production of SigA.
SigA is the body’s first line of immune defense. Her salivary SigA on the Adrenal Stress Index was found to be significantly depressed at 10 (optimal range is between 25-60). It's interesting to note that there was a significant depression in her Total Intestinal SigA (stool) from her stool test. Her levels were significantly depressed at 95 (optimal range is between 400-800). This is strongly associated with malabsorption and intestinal hyperpermeability ("Leaky Gut Syndrome".) In short, Mucosal Barrier Dysfunction.
How Do Mucosal Barriers Function?Mucosal barriers provide both mechanical and immunological protection to the internal body environment from external agents. The mucosal barriers consist of the conjunctiva of the eye and the linings of the oral cavity, nasal cavity, pharyngeal cavity, tracheobronchial tree, alimentary tract, urinary tract and genital tract. The normal intestinal epithelium is a semi permeable (selective) barrier with substantial immunological activity from secretory IgA (SigA). SigA can successfully exclude external agents from entering the internal environment of the body by binding to bacteria and other antigens, thereby preventing the toxic, antigenic or pathogenic molecules or micro-organisms from entering the bloodstream. With a healthy mucosal barrier, approximately two percent of encountered antigens penetrate into the general circulation. Failure or abnormalities in any one of these protective functions of the intestinal barrier can result in many symptoms specifically auto-immune and immune-focused diseases. Excess intake of alcohol, infections, NSAID use, stress, chemical contamination of food, broad spectrum antibiotics, corticosteroid hormones, and use of oral birth control pills are just a few factors that can adversely affect the intestinal barrier and permit pathogenic bacteria to produce infectious diseases either by invading into deeper tissues, or secretin antigens and / or toxins that damage local and distant tissues. Damage to the mucosal barrier can also occur as a result of the overgrowth of yeast. The yeast release toxins and enzymes, and can also be translocated into peripheral organs. Yeast proliferates in the presence of mercury, and altered pH, which accompanies abnormal composition of bacterial flora. Any of the aforementioned insults to the intestinal barrier can result in increased permeability, which can be associated with unregulated uptake of partially digested proteins with resultant symptoms of food allergy. The key is to identify the primary cause and extent of increased GI permeability. |
It was clear from the stool test that Lisa's SigA was well below the optimal level indicating a strong likelihood of malabsorption and Intestinal Hyperpermeability. This was confirmed by the following Intestinal Permeability Test. The increased Lactulose Percent Recovery and Lactulose/Mannitol Ratio are both strong indicators of Intestinal Hyperpermeability.
This innovative test gets into the deeper biochemical glitches seen in gastrointestinal dysfunction, mitochondrial dysfunction, detoxification problems, and nutrient deficiencies that are not commonly identified on conventional lab tests. It was clear from the seriousness of Lisa's condition and the compromise of her primary immune function that I needed a test that would efficiently and cost-effectively evaluate the effects of this on other systems of the body.
Here are the results of this test and the clinical implications for this case:
Lisa had elevated Pyroglutamate at 17.8 and significantly low Sulfate at 147, which clearly indicated an increased stress on detoxification system. Without ample amount of sulfate, her body was unable to neutralize the toxic stress of drugs and other toxic chemicals.
Elevated Pyroglutamate indicates that there is inadequate organic sulfur sources for the production of cysteine required for glutathione synthesis. This is further confirmed with the bottomed out sulfate indicating once again a high glutathione demand. Glutathione is constantly used up in the removal of toxic molecules and prevention of oxidative damage. Elevated Pyroglutamate reveals that glutathione is being lost at a high rate. Sulfation pathways are important for the body’s transformation of many drugs, steroid hormones and toxic compounds. The key amino acid to effectively turn this biochemical dysfunction around and raise the glutathione and sulfate levels is N-Acetylcysteine |
She had elevated Phenylpropionate and Tricarballylate which are markers indicating dysbiosis. In addition, Tricarballylate has an extremely high affinity for magnesium preventing magnesium absorption.
The elevated Dihydroxyphenylpropionate is another marker for intestinal bacterial overgrowth with Clostridium overgrowth the most common. The natural therapeutic, Saccharomyces boulardii, is commonly prescribed for this specific pathogen.
Lisa’s anti-oxidant reserves were severely depleted. No wonder her body was resistant to recovery.
Lisa also had high levels of Ethylmalonate, Pyruvate, Lactate, B-Hydroxybutyrate, a-Ketoglutarate, a-Ketoisovalerate and Methylmalonate. These findings all indicated a severe depletion of her B-Vitamins.
Of special interest, her elevated Methylmalonate and high Homocysteine both document a severe B12 deficiency. Of course a deficiency of B12 directly relates to chronic fatigue.
Lisa’s fatty acid profile revealed very low levels of omega 3 essential fatty acids. Her levels of omega 3 were bottomed-out, no wonder she was having so much pain.
Lisa’s results clearly revealed a candida overgrowth. This was supported by both tests.
#7 Mucosal Barrier Function Test
Of special interest, we ordered a prescriptive and natural agent sensitivity test to accurately determine the best treatment to eradicate the candida overgrowth:
As you can clearly see, this was a challenging case with a number of underlying physiological and biochemical dysfunctions.
The information derived from the functional diagnostic testing was invaluable in helping me crack this most difficult case.
Based on the large amount of information derived from the testing, my treatment consisted of a series of small carefully executed treatment protocols.
The key was NOT to overwhelm Lisa but to proceed in a baby step fashion.
This was much appreciated and the outcome was beyond her expectations and to be quite honest nothing short of amazing.
Here is the entire protocol I recommended over a three to six month time frame. Again I want to emphasize that the timing of each of the below clinical recommendations were carefully planned to maximize her recovery and minimize any healing crisis.
Adrenal support via Licorice Extract and Adrenal Support
Easy to digest mineral supplement: was only taken one hour before her bedtime
Low digestive stress diet was prescribed: Juicing organic vegetables was encouraged to also improve her compromised anti-oxidant status.
Patient was counseled on reducing her stress loads.
Quality sleep was encouraged.
Spring water in glass bottle
Minimize any external toxic exposures
Liver support with added N-Acetylcysteine
Omega 3 supplementation
Aggressive increase of her anti-oxidants
A candida protocol was not initially recommended due to her body’s compromised detox. status.
B-12 injection
Rebuild her mucosal intestinal lining played a critical role in helping her achieve the results she eventually achieved. Of course this was not first on the last but was introduced approximately three months into the treatment.
Important Note:This is one area where many physicians make the assumption that treating the candida pathogen would be of value for this patient. Unfortunately, this would be a recipe for disaster considering her weakened state. Appropriate action steps to support her adrenal glands and detox. pathways would be a much better direction to move in. Of course the approach I took could NOT have been identified unless I had the wealth of data obtained from the above functional diagnostic lab tests. |
So there you have it, 2 cases closed!
Can you imagine how wonderful it feels to look your patients in the eye and tell them you don't want to see them again, that they have graduated? All their goals have been achieved and there's nothing more you can do for them. Not because you've run out of ideas or they have run out of money but because YOU have solved their case and they have achieved a greater sense of health and wellness because of it.
They've graduated from what we call "Condition Care" and they can now enter the realm of "Maintenance Care".
This is one of the most gratifying things in the world and to the Functional Diagnostic Medicine Practitioner "Graduation Parties" are not an uncommon event.
But, we have to let you know, there's nothing secret to what Functional Diagnostic Medicine practitioners do.
From the cases we ran through you can appreciate how powerful it is to know what questions to ask, how to interpret all those labs, and how to treat with nutrition.
...And that's why this next statement is going to seem pretty weird.
That's NOT what Functional Diagnostic Medicine is about!
Yes, we know that sounds totally bizarre since we just showed you the Functional Diagnostic Medicine approach to blood sugar dysregulation, fibromyalgia, and anxiety.
And yes, we know that sounds weird because we just finished showing you how you can treat these conditions with individualized treatment protocols using clinical nutrition.
The bottom line is,
Heck, if you want to do nutrition go to one of the many supplement companies that provide supplements to our professions and enroll in one of their cookbook nutrition courses.
Functional Diagnostic Medicine is about much, much more.
It's about people willing to wait and see you because you are the ONLY doctor in your town who has ALL the answers.
Actually, let us help you out and show you....
Functional Diagnostic Medicine is NOT Just About Good History Taking: Obviously you will learn the cutting edge techniques to get a ton of information from your patients' history and you will learn them well...but that's not all that Functional Diagnostic Medicine is.
Functional Diagnostic Medicine is NOT Just About Doing Great Physical Examinations: Obviously it's essential to get your hands on your patients and do the absolute best and most comprehensive physical exam... but that's not all that Functional Diagnostic Medicine is.
Functional Diagnostic Medicine is NOT Just About Lab Testing: Again, you will learn state-of-the-art blood interpretation techniques and how to interpret many of the important advanced Functional Diagnostic Medicine tests, and you will learn them well... but that's not all that Functional Diagnostic Medicine is.
Functional Diagnostic Medicine is NOT Just About Nutrition: To a lot of health care practitioners nutrition is synonymous with nutritional supplements. We'd like you to consider something for a minute.
THE MAJORITY OF DOCTORS USING NUTRITION TODAY ARE DOING IT ALLOPATHICALLY
The reason we say this is that most doctors, whether they are prescribing drugs or some natural supplement or an herb, focus on temporary symptomatic relief rather than getting to the true underlying cause of the dysfunction, disorder or disease.
The majority of the nutritional supplement companies have what they call "Protocol Manuals", which are just glorified cookbooks: "Patient A has this disease then give them these 3 supplements". We might as well do our patients a favor. Just give them the protocol manual and have them buy whatever supplements they like so we can go and sit on the beach!
Now we know that you are different or you wouldn't be interested in what Functional Diagnostic Medicine can do for you and your patients.
But you know what? Your patients are different too.
You and I know this: Times have changed. Today's patients are more highly informed than ever before thanks mostly to the internet.
The reason why is simple: FRAME OF MIND
Today's patients who are seeking your care are in a different frame of mind than they were even a few years ago. They are sicker, feel less functional than at any time in history and allopathic medicine does not have any answers.
They want answers and are no longer satisfied with the same old nutritional approaches.
They want a practitioner who has a wide frame of focus, can see the wood from the trees, does not just seek temporary relief of symptoms, can analyze information from multiple systems of the body, organize that data into a detailed report that clearly identifies what areas of the body are out of balance and communicate what steps are necessary to restore optimal function.
Remember,...
As a physician working in the realm of function and dysfunction, you need to have as many tools as possible to assess the body.
You must have as much data about your patient as possible flowing into your assessment funnel.
But once you have all that information you must be able to process and make sense of it all. You must be able to quickly and efficiently communicate to the patient exactly what you think is going on. And finally, you must be able to clearly and concisely recommend what they must do to achieve a greater state of health and well-being.
This is what Functional Diagnostic Medicine is all about and this is what you are going to learn in our Functional Diagnostic Medicine Training Program.
By the end of our program you will know:
You will learn to do this even if you don't know where to start, where to begin, or how to proceed.
If you are already familiar with Functional Diagnostic Medicine, we'll show you the quickest way to get from point A to point B.
While your competition is peddling supplements, you will have positioned yourself as the only practitioner in your town that has answers to the countless health problems afflicting your patients.
This results in happy and satisfied patients, tons of referrals and the ultimate waiting list practice!
So if you have existing patients, want more patients, or are just starting out in practice...Functional Diagnostic Medicine is the best, most effective, and the most rewarding way to achieve excellence in clinical practice.
And of course this translates into making more money in your practice.... Functional Diagnostic Medicine is extremely profitable.
With reduced insurance reimbursement, with an onslaught of managed care programs and a constant avalanche of paperwork involved with billing insurance companies, the established chiropractor is finding it increasingly difficult to operate a financially rewarding and stable practice. To add insult to injury, God forbid you're a brand new, just out of school chiropractor, you'll be lucky to get into a tenth of the managed care plans available.
Fortunately there is another way! Whether you're an established or a brand new practitioner you will finally be able to....
Large Cash Profits Through Multiple Income Stream: When you use our Functional Diagnostic Medicine System in your clinic and start running a few patients through it you will see some large profits from your consulting time, your blood work, your advanced lab tests, the nutritional programs you put together and the re-testing. The interesting part is, patients are excited to pay for this because they experience the value!
In the illustration above we showed how much profit you can make with Functional Diagnostic Medicine. That was for each patient. Let's take a look at what happens when you see more than 1 patient:
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Do you think you could see 50 Functional Diagnostic Medicine Patients in a year? Everything we have mentioned above is very easy.
We guarantee that you've never been taught all these pieces before the way we teach them and once we show you how to do it....you'll never go back to the "old ways" again.
Obviously Functional Diagnostic Medicine works.
And chances are, if you use just a little bit of it in your practice, you will make a significant impact on your patients' health and wellness, AND make a lot more money.
So if you want to put Functional Diagnostic Medicine to work for you, we're happy to get you started.
Here's how this is going to work.
First off, for reasons that will be explained later on in this report we can only allow a limited number of people to take advantage of this opportunity. We wish we could accept more, but as you'll soon see we're purposely limiting those who get access to this training for the time being....
The program itself is called "The Functional Diagnostic Medicine Training Program" because that's the primary focus....a step-by-step system that will remove all the guesswork, frustration, and time out of learning Functional Diagnostic Medicine so you can start making huge changes in your patient's lives.
Even if you don't know where to start, or how to proceed we'll take you from the start and walk you down the path to Functional Diagnostic Medicine Mastery.
If you are already familiar with Functional Diagnostic Medicine we'll take you to a level of clinical expertise far quicker than anyone else.
Our Training Program does this in a systematic format of training videos and audio, downloadable clinical resources and reference manuals, online forums where the community can get their burning questions answered, and regular coaching and Q&A sessions.
If you manage to get one of our coveted spots, here's what you'll receive:
Additionally, unlike other content delivery packages, such as CDs, downloadable e-books, etc., this interactive web-based delivery system ensures you receive maximum benefits from our training material. We are using this technology to give you a truly exclusive training site. Only those who have registered for the training will have access to this site. This will become our online university. A place to meet, chat, discuss and download the tons of information we will make available to you. We have broken this training program into nine (9) information packed training modules where we will walk you through all the steps to successfully integrate and implement Functional Diagnostic Medicine into your practice. It's set up so that you go through one module per week, but you can feel free to go faster or slower depending on your circumstances and time available. Each module is further broken down into individual lessons of about an hour each. Our aim is to allow you to learn this material an hour at a time. After each lesson we will have a simple quiz to test your knowledge of the area you just studied. This is to reinforce the learning and to give you a sense of accomplishment that the material is sinking in!
Plus you'll get all of the questionnaires, forms, and handouts we developed to use in our clinics so you can put them to work for you immediately. |
Here's how the modules break down: Functional Diagnostic Medicine Training CurriculumThere are a total of 9 Training Modules broken down into multiple required coursesRequired Courses:
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Triggers for Immune Imbalance - In this section we'll be examining the many triggers and mediators of the immune system including the role played by nutrient deficiencies, hyperpermeability of the gut, and pharmaceutical drugs. We'll also take a look at the role the immune system plays in Chronic Fatigue Syndrome and other viral disorders. Assessing the Underlying Cause of Immune Imbalance - We'll be paying particular attention to the first and second line tests that can help us assess the many different manifestations of immune imbalances: the role of GI mucosa, nutritional deficiencies, liver toxicity and the Gut Associated Lymphatic Tissue. Special attention will be placed on allergy testing, assessing viral load and the Modified Food Elimination and Reintroduction process. Patient-Specific Treatments- Treatment will be focusing on ways to treat immune imbalances without shutting down symptoms. Treatment will focus on restoring function to the body and will not be limited to nutritional intervention, diet, exercise, and lifestyle modification. |
Training Module - Energy Production, Oxidative Stress and Mitochondrial Dysfunction |
Assessing the Underlying Cause of Blood Sugar Dysregulation and the Problems of Insulin Dysregulation and Oxidative Stress- The early assessment of blood sugar dysregulation is essential for the prevention of diabetes, obesity, metabolic syndrome, and cardiovascular disease. We'll be looking at the best ways to do this using symptom analysis, blood chemistry analysis, and advanced functional diagnostic labs. We'll also discuss ways to assess for oxidative stress to prevent the end organ damage caused by uncontrolled blood sugar levels and other dysfunctions associated with oxidative stress. Patient-Specific Treatments- Treatment will focus on the prevention of blood sugar dysregulation and the damage caused by oxidative stress. |
Triggers and Mediators for Inflammation- In this section we'll be examining the many triggers and mediators of the inflammatory process, including the role played by nutrient deficiencies, hyperpermeability of the gut, allergies, and pharmaceutical drugs. We'll also take a look at the role inflammation plays in cardiovascular disease and auto-immune conditions. Assessing the Underlying Cause of Inflammation- We'll be paying particular attention to the first and second line tests that can help us assess the many different manifestations of inflammatory imbalances. Special attention will be placed on Essential Fatty Acid Analysis and Cytokine Testing. Patient-Specific Treatments- Treatment will be focusing on ways to treat inflammatory conditions without just focusing attention on shutting down the inflammatory symptoms. Treatment will focus on restoring function to the body, treating the underlying cause and will not be limited to nutritional intervention, diet, exercise, and lifestyle modification. |
Assessing the Liver's Detoxification Capacity- Using Primary FDM tests you will have the opportunity to assess an individual patient's detoxification ability and toxic burden. You will also learn how to interpret a number of essential Advanced FDM tests including the Liver Detoxification profile and RBC mineral testing. You will also be taught the best methods of evaluating the presence of toxic elements such as heavy metals. Treatment Options- Treatment of liver detoxification problems will center around removing the source of the exposure, reducing the toxins in the body, and strengthening the body with appropriate supportive nutrients. You will learn how to implement a 21-day Functional Detoxification Program into your practice and you will learn the best methods for effectively and efficiently removing toxic metals from your patients. |
Functional Assessment and Treatment- We will look at the most effective ways to assess for hormonal dysregulation in all of the main Neuroendocrine systems. You will learn the major primary FDM testing techniques using signs and symptoms analysis, in-office lab tests, functional PE techniques and of course the latest techniques for thoroughly analyzing blood chemistries for hormonal imbalances. We will devote plenty of time to understanding the thyroid panel on a blood test. You will leave with a thorough understanding of the different interpretations that can be made from the tests on a thyroid panel and how they alter clinical treatment. Advanced FDM Testing - You will learn how to interpret the Adrenal Stress Index test and be familiar with all of the various treatment methods that can be employed to restore adrenal function. You will also become experts in analyzing female and male sex hormone profiles so you can easily manage patients with sex hormone dysregulation. Clinical Approaches to Hormone Dysregulation - Finally, you will be given comprehensive strategies for managing even the most complex cases of hormonal dysregulation and we will teach you how to put it all together. |
Understanding how to manage the stress response- In this module we will revisit stress and show you ways you can help your patients recognize stress in their lives. Using many tools of meditation, breathing, guided imagery or prayer you can begin to bring your patients back to a true state of homeodynamic balance. |
Functional Biomechanical Assessment- With over 27 years in clinical practice, in addition to holding a diplomate degree in Chiropractic Orthopedics, Dr. Grisanti will unveil the personal functional biomechanical assessment he performs on all chiropractic patients. This time tested and clinically documented examination will help you identify the biomechanical and biochemical dysfunctions for a variety of conditions, including: facet syndrome, degenerative disc disease (forget about investing in expensive decompression), lateral epicondylitis (tennis elbow), TMJ, supraspinatus/infraspinatus tendonitis (rotator cuff), patellar femoral arthralgia, plantar fasciitis, trochanteric bursitis, carpal tunnel, intercostals neuritis and more commonly seen conditions. These are just some of the essential topics Dr. Grisanti will be teaching. Dr. Grisanti will share the skills and techniques he finds most essential for the Functional Diagnostic Medicine practitioner to know. Extra-Bonus
We promise you will walk away with the most powerful method to help your patients lose fat, improve their cardiovascular health and get in the best shape of their lives. To be quite honest, the knowledge you learn from this one section will more than pay for the entire course. |
ADVANTAGE #3 Ron Grisanti and Dicken Weatherby's
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But as you may have already guessed, there's more...
Every student will also get......
Dr. Weatherby's "In-Office Lab Testing" Training Tools to Help You Take Action and Increase Your Clinic Income |
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"In-Office Lab Testing- Functional Terrain Analysis" E-Book ![]() | "Quick Reference to Functional Urinalysis" E-Book ![]() |
Dr. Weatherby's "Boost Clinic Income with an In-Office Functional Urinalysis Lab" Training Videos and Audio Recordings | |
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You will get access to these training resources once the semester begins. This entire system teaches you the practical aspects of setting up and running a successful In-Office Functional Urinalysis Lab in your clinic , a system that will start putting much needed income back into your practice. Dr. Weatherby goes through each test outlining the best ways to run the test and discusses the test results from a functional perspective. The "In-Office Lab Testing- Functional Terrain Analysis" E-Book is a detailed reference manual for Dr. Weatherby's system of using urine, saliva and other in-office tests to gather more detailed information from your patients. This manual includes full instructions for each test, in-office forms for tracking patient results and a detailed section on interrelated patterns. This e-book is an invaluable resource for those wishing to add in-office testing to their clinics and increase the monthly profitability of their practices. There is also a "Quick Reference Guide and Guide to Urine Dipstick Analysis" e-book that accompanies the above reference manual. Dr. Weatherby's Functional Urinalysis Training Videos are a complete visual reference guide to all the urinalysis tests included in his In-Office Lab Testing- Functional Terrain Analysis reference manual. You will see not only how to do the actual tests but also visualize what the results look like. It is your complete quick reference for performing, interpreting, and analyzing the functional urinalysis tests. All videos will be online. The final part of this training system is Dr. Weatherby's "Boost Clinic Income With An In-Office Functional Urinalysis Lab" Audio Training. These audio files will give you the inside tips, tools, and techniques to be able to analyze your patients' urine using Functional Urinalysis. These techniques have been taught to doctors and practitioners worldwide. Use them to increase your practice income by running an easy-to-operate in-office lab. So, you will have access to a system that will not only allow you to gather yet more valuable information from your patients but also put much needed cash back into your clinic. There are practitioners who make hundreds of dollars in extra income..... PER WEEK, every week. Actually, check this out: This diagram shows you the annual income potential by running a simple In-Office Functional Urinalysis Lab. You can see how quickly big profits add up. Not only does it put money in your pocket but the patients love it and are grateful to have instant results rather than having to wait days, if not weeks, for some labs to come back. As you will discover, once you start learning this system, these tests can be used as powerful "gateway tests" for ordering Advanced FDM tests. We've done the math for you and found out that 10 Functional Urinalysis panels/week will add an extra $49,400 of income on an annual basis.... and we honestly believe it will get you amazing results and add tremendous value to your practice. We believe you can set up an in-office lab in your clinic within a month of studying this training material...and use it to make more than enough to pay for the cost of this rare opportunity. In other words, by giving you this "Boost Clinic Income with an In-Office Functional Urinalysis Lab" system, we're basically paying you to put Functional Diagnostic Medicine to work for you in your clinic. And it's really quite simple. We give you the training information, the instructions on how to run each and every Functional Urinalysis Test, the online videos showing you how to do each test, the audio files telling you how to interpret each test, and a list of suppliers for all the reagents, etc.. If you can follow some simple directions and read a reference manual, you can use it right now! And if you started using it today, we bet you'd not only see amazing results with the information you gather but you'd see an amazing surge of cash over the weeks and months to come. |
PLUS, we're giving you this money-making tool as well!
Our Online Referral System at |
Upon graduation and after you have passed the 8 module examinations and the final examination, your name and clionic information, if you choose to make it available, will be added to our referral list at www.FunctionalMedicineDoctors.com. Your name will be on that list at no charge to you. We want to make sure that our valuable visitors are referred to only highly trained practitioners. Upon graduation this will be you! Imagine having an online system that continually puts your name and credentials in front of literally tens of thousands of visitors a year. Just one referral from this list could pay
for the entire |
And finally,
We
appreciate that you have many choices for your post graduate education
to choose from to get your Continuing Education Credits. Many doctors
are unaware that the majority of States in the US give Continuing
Education Credits for online training.
We are proud that our Functional Medicine Training Program is co-sponsored by Southern California University of Health Sciences.
As part of your tuition we will submit your details to SCU to get you the maximum number of C.E. hours granted by your state for online learning. The only requirement on your end is that you participate fully in the program and pass the final examination.
We are committed to providing outstanding content that is highly useable, practical to implement, can increase the profitability of your practice, and is a great value for your educational investment.
As post graduate educators we recognize the needs and desires of the practicing health care professional. This is a practitioner oriented course. This training program is well researched and backed with clinical experience. We feel confident that you will leave this program inspired, excited, and motivated to begin transforming the lives of each and every one of your patients.
If you’re like us you want to stay ahead of the game with new and creative ways to evaluate patients and differentiate yourself from other health care practitioners in your town.
Patients are looking for practitioners who can help them navigate through the myriad of signs and symptoms they are experiencing and bring them back to a state of health and wellness. We feel that Functional Diagnostic Medicine is THE way to make you stand out as a practitioner.
We can promise that this is one of the best opportunities of its kind and we feel 1000% certain that this Training Program will have more impact on your practice than any other training program you will ever attend. But right about now you may be thinking....
Allow us to explain.....
First, if you are a physician (MD, ND, DC or DC) you must be willing to invest $1995 to reserve a spot in this semester's training. This fee covers our time in putting all of this together for you, plus it ensures that only serious people apply. The $1995 can be split into 6 easy payments of $360 each month. For Non-physicians and students you must be willing to invest $1665 to reserve a spot in this semester's training. The $1665 can be split into 6 easy payments of $270 each month.
We both went down to Atlanta last year to take the Institute of Functional Medicine's A.F.M.C.P. Program, a 5 day on-site training. Not only did the training itself cost $3500 each but we had to add to that the cost of travel, our hotel rooms, and our meals. We worked out that this cost us an additional $2100 each. Then we had to add in the income we lost from being away from the office and the cost of keeping our offices open (office rent, payroll for staff, etc.). This brought the cost of taking a program like this up into the tens of thousands of dollars ($10,000 plus).
Thanks to the marvel of modern technology, we can make our cutting-edge information available as a complete training program without requiring you to leave the comfort of your home or office. Not only that, but you get to archive the entire training so you can go over the material time and time again. How many "on-site" training programs allow you to do that? In our experience, they usually charge you for the audio of the training!
You won't have to spend thousands of dollars sitting in a sterile hotel room for 5 days, only to forget much of what you learned a week later.
Every single lesson, online video, audio conference call, and handout will be made available on our exclusive training site so you can download it and have it available 24/7.
You get not one, but TWO of the leading experts in Functional Diagnostic Medicine.
Don't forget, this program has been approved and is co-sponsored for continuing education by Southern California University of Health Sciences
As you can see, everything we have listed so far should be important to you. But here is the BIG point that we want to make. It doesn't matter just how important it is if you don't fully grasp it. And this gets to the three reasons we decided to create this as an online training program:
It allows us to present to you the information you need in the EXACT order that you need to hear it. RIGHT NOW. You won't have to wait patiently for us to make it to your area or travel thousands of miles and pay hundreds of dollars in air travel and hotel to attend an event outside your home town.
It allows us to give it to you in BITE SIZED segments so you are not overwhelmed with the information. Each video is an hour or less in length so you can easily manage a training lesson 2 or three times each week. At that pace you will complete this training in 25 weeks. But the thing is you can go at your own pace - fast or slow!
It allows us to give you an archive of the information so you can revisit the material over and over again even when you have successfully graduated!
In fact, we're proud to say that this is the ONLY Functional Diagnostic Medicine Training Program of it's kind that teaches you in this format.
But it gets better because......
We're proud to say that this is the ONLY functional medicine training program of it's kind that actually has a full money back guarantee.
Here's how it works...
You have a full 30 days to see if our "Functional Diagnostic Medicine Training Program 3.0+" course is right for you. If you determine that it isn't, and that we have nothing of value to offer you then let us know and we'll gladly refund your money. No hassles. No hard feelings.
There's really nothing to lose. As long as you're committed, you simply CANNOT lose.
But whatever you do, DON"T delay. When we say this course is limited....We mean it!
If you're interested, check out the different pricing options and get your name on our waiting list by filling out the form below.
Places in our upcoming FDM Training Program Semester are limited and WILL go first to those on our waiting list. Whatever you do, DON'T delay. When we say this enrollment is limited...we mean it!
Our last program filled up in less than 24 hours and we took down the registration link just after the very last seat was filled.
So trust us...this is NOT one of those lame marketing ploys that you're probably used to.
Once we hit our enrollment limit, the enrollment link will be taken down and you will be looking on the outside looking in. Don't let it happen!
Again, If you're interested, check out the different options and get your name on our waiting list by filling out the form below:
Physicians (MD, DC, ND, DO)2 Easy Payment Options
Non-Physicians
2 Easy Payment Options
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Just Read Some Of These Incredible Stories From People Who Graduated from Our Last FDM Training Program...
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Yours in Health,
Dicken and Ron
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Creators of the "Functional Diagnostic
Medicine Training Program" P.S. Just so you know, there's nothing "special" about Functional Diagnostic Medicine even though it may seem like it. Sure, it's responsible for helping thousands of patients achieve a far better quality of life than any other form of health care. And while it may seem amazing to do this, you should consider this: As doctors, physicians and health care practitioners, with Functional Diagnostic Medicine we have the ability to help thousands and thousands of people who desperately need our help. And if you can help only one person each day, you can make a huge impact on someone's life. If we multiply that by 300, as a group we will help 109,500 people in a year. Make that 2 patients a day and you can see the kind of impact we can have on the health and well-being of this planet! When you think about it, the odds are stacked in your favor. When you understand the principles of Functional Diagnostic Medicine and begin to apply them into your practice, it's pretty hard not to see some amazing results. Our point is, YOU CAN DO THIS. You can implement Functional Diagnostic Medicine into your practice. All you have to do is to let us "download" the system into your brain over the course of our Training Program. P.P.S. Remember, your success is totally guaranteed! If you follow all the steps we give you and together we still can't make it work, we'll not only refund every last penny of your investment, we'll also give you an additional $500 as "payment" for wasting your time. Now who's taking all the risk? You Deserve to Learn From the Best. Nothing Less. |