The Curbsiders Internal Medicine Podcast
About This Show
Join The Curbsiders, three clinician-educator board-certified Internists from San Antonio, Texas, as they interview ("curbside") expert guests about hot topics in Internal Medicine to bring you clinical pearls and practice changing knowledge.
Most Recent Episode
Functional Medicine Returns! Elimination diets and healing with food
Summary: Stop feeling helpless in the face of vague complaints like fatigue, digestive problems, mood swings, inability to lose weight, etc. Learn to treat any chronic disease without writing more prescriptions. Heal yourself and your patients with the power of food. Join us for the return of Functional Medicine physician, Dr. Yousef Elyaman, as he schools us on elimination diets, phytonutrients, liver detoxification, going “paleo” and more. This is a deluxe episode so we’ve included a time key below. You’re welcome. Clinical Pearls: Use the 80:20 rule. Try to make 80% of your food paleolithic (unprocessed). Eliminate the chemicals when possible (processed foods, plastics, cleaning products, cosmetics, etc.) Workarounds for your budget: home garden and/or frozen foods. Preserve phytonutrients - Avoid microwaves. Lightly saute or eat veggies raw. Try an elimination diet for one month then reintroduce foods one at a time. Assess patient readiness and prescribe diet that fits their degree of commitment. Basic lab panel to consider: Check homocysteine, zinc, 25OH Vit D, B12, RBC folate, RBC magnesium (use diagnosis of fatigue). More specialized labs: SpectraCell - Micronutrient panel. NutraEval Plasma by Genova Diagnostics. Check for MTHR mutation (if off then patient needs methylfolate). Dr. E's Four steps to healing with food Ensure a nutritionally dense diet. Remove bothersom