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INMD 630: INTEGRATIVE MEDICINE LAB TESTING

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COURSE SUMMARY:

The goal of this module is to organize and explain various tests that are available so as to make their use more applicable to medical education and clinical practice. There is a new standard of care emerging in medicine, and recent science in molecular medicine has challenged the fatalistic approach to the mere management of disease with the pharmaco-therapeutic approach. The predisposition model recognizes that we all inherit genetic vulnerability, but it incorporates unfolding evidence that environmental and nutritional factors interact with our genome to produce a unique phenotype and the eventual clinical outcome. In order to identify the causative determinants that must be addressed in clinical situations, an objective mechanism is required to explore those nutritional and toxicological factors that are contributing on a molecular basis to health outcomes. Accordingly, laboratory testing to evaluate biochemical, toxicological and nutritional status in individual patients is an absolute prerequisite in modern health care to adequately investigate and manage health problems, particularly in patients with complex problems.

The following lab tests will be discussed in terms of meaning of results, including actual lab results and how to interpret them:

  • 2 and 16 Urinary Oestrogen Metabolites in the urine, Adrenal Hormone Profile on saliva , Amino Acid testing urine, Baseline Hormone Profiles, Baseline Plus Adrenal Hormone Profiles, CDSA (comprehensive digestive stool analysis) , Comprehensive Urine Elements Profile, Organic acid/krebs cycle investigations, Essential Fatty Acids, Female Hormone Profile, Functional Liver Detoxification Profile, Genetic Diagnostic Testing, Hair Mineral Analysis, IgG food allergy testing FAQs, IgG Food Sensitivity Profiles,Intestinal Permeability testing (lactulose/mannitol test), Melatonin Profile, Metabolic Analysis profile, MTHFR , Osteoporosis Risk Assessment NTx, Saliva vs Serum explanation, Secretory IgA testing , Iodine challenge test, Thyroid Hormone Profile , Urinary Iodine, Which Hormone Profile to use

COURSE LEARNING OBJECTIVES:

Learners will:

  • be familiar with the functional laboratory testing done in Integrative medicine

  • have a good understanding of what optimal 2:16 OH estrone ratio is in the urine

  • know which nutraceuticals, foods and nutrients improve 2 hydroxylation of estrogen

  • know which hormones can be tested on saliva and understand that saliva reflects tissue levels

  • know the symptoms of antioxidant deficiency states and know which antioxidants are tested in the

    functional medicine lab

  • know the functions of the various B vitamins

  • understand what is meant by a comprehensive digestive stool analysis and know what can be tested with

    this test

  • understand the functions of ALA, EPA, DHA (omega 3 fatty acids)

  • know why homocysteine testing is important in Integrative Medicine

  • know how to test for growth hormone levels in the functional medicine lab

  • know the causes of elevated reverse t3 and decreased t3

  • know the significance of IgA saliva testing

  • understand phase 1 and 2 liver detoxification 



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Accreditation

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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Phone: (888) 443-4611 Ext. 710

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DISCLAIMER

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.