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INMD 570: Integrative Clinical Immunology



A sound knowledge of the immune system is of paramount importance to the Integrative Medicine practitioner due to the following factors that need to be both understood and implemented into practice:

  1. The incidence of autoimmune diseases is on the rise
  2. Gluten sensitivity (not only celiac disease states) increases the risk for “leaky gut syndrome” and autoimmune disease states
  3. Predominantly Th2 immune system responses are common with aging people and this leads to an increased incidence of allergies, autoimmune disease states as well as cancers
  4. Immune deficiency states, such as inherited immune deficiency states, and acquired like HIV infection, need an integrated approach to manage best
  5. Gut flora is of great importance to maintaining immune system and overall health
  6. Only in Integrative Medicine can Gut health be addressed appropriately to restore overall immune quality and health
  7. Most disease states begin in the gut and it is not surprising that the gut hosts the major part of our immune systems
  8. It is important to understand the differences in th1 and Th2 immune system responses and the cytokines responsible for each of them
  9. Certain “immune interventions” can be put in place with integrative medicine modalities to restore immune system health
  10. Understanding an Integrative approach to autoimmune diseases, asthma, allergies and aging per se will be learned in this module
  11. Inflammatory changes in the body begin in the gut and an approach to inflammation and an approach to immune surveillance is important.


  • To understand the anatomy and physiological make up of the immune system
  • To have an understanding of the immune system on a Th1 and Th2 level
  • To understand the significance of lymphatic drainage to maintain optimum health
  • To have an understanding of the integrative approach to autoimmune disease states
  • To understand how detoxification is vital to maintain an optimum immune system
  • To understand the environmental toxicity relevance to autoimmunity and immune toxicity
  • To understand how dietary interventions can improve immune system functioning for example anti-inflammatory diets for autoimmunity and gluten free diets for autism spectrum disorder and celiac disease
  • To understand some of the major cytokines involved in the immune system
  • To understand vitamin D’s role in the prevention of cancers such as breast cancer, prostate cancer, lymphoma and colon cancer
  • To understand the role of iodine in autoimmune thyroid disease states
  • To realize the importance of low dose naltrexone in the management of autoimmunity


  • Ziyaad Lahri, MD

    “I wish to thank you and your team for presenting an excellent course. I have managed to work through all ten modules of the certification Read More
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Chiropractors' Association of Australia - Approved for 200 FLA Units

Approved for up to 70 CE units in California

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.


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The delivery of integrative, holistic, or alternative medicine (sometimes referred to as "Complimentary Alternative Medicine or "CAM") may unintentionally include the delivery of services covered by health care plans (notably, by Medicare due to the age or condition of patients triggering coverage). Since CAM practices are largely cash or private fee practices, practitioners must cautiously and carefully ensure that their services do not collect patient payments for what Medicare covers. With the Accountable Care Act being implemented on a national level, more preventative health care services are now covered by Medicare. Coverage of certain preventative care services is now enhanced or expanded. Care must be taken, therefore, since some CAM services delivered by practitioners may constitute preventative medical services mandated as covered by Medicare with no co-pay or deductible owed. HMO plans prohibit the delivery of medical services covered by the plan for patient compensation in excess of plan reimbursement, and require advance patient consent for voluntary non-medical amenities triggering additional patient payment obligations. Additionally, HIPAA/HITECH implements important patient privacy protections and may be triggered by the storage or handling of any electronic patient information. Federal law mandates patients have access to electronic health records, therefore, care must be taken to avoid charging fees for electronic health records access that is mandated by federal law, or for charges in excess of federal guidelines. Various states often have privacy and medical records access laws similar to federal laws. CAM practices often, but not always, engage in electronic communication with patients and involve family members or significant others with CAM consultations, so care must be taken regarding HIPAA/HITECH compliance with respect to privacy and records access. HIPAA/HITECH requires separate personal health information (PHI) written consent by patients, along with updated notices of privacy practices (NPPs) toward HIPAA/HITECH compliance. Due to the complexities of reimbursement and privacy laws, CAM practitioners are strongly advised to seek competent legal counsel to achieve compliance, and should not rely on IFIM presentations. Materials and information presented by IFIM are necessarily general, non-specific, and do not constitute or replace legal advice. The IFIM specifically disclaims that it is providing legal compliance guidelines, representations, warranties or assurances.