A wide range of gastrointestinal symptoms and conditions can be treated with IFM’s 5R framework. This framework helps to support and heal the digestive tract. Vincent Pedre, MD is an IFM Certified Practitioner (IFMCP) who believes “the gut is the gateway to excellent health.”
My first interventions for gut health start with food, and I use the 5R approach.
The first R is Remove, so removing all the foods that people may be having a reaction to or an intolerance or other sensitivity. So first R is Remove, then Replace, Reinoculate, Repair, and Rebalance.
And when you Replace, you’re replacing enzymes, maybe missing enzymes, hydrochloric acid, bile, digestive enzymes. So anybody who has a food reaction you have to think that they have an enzyme deficiency, that they’re not breaking down their proteins properly.
And then Reinoculate: you’re rebuilding the gut flora.
Repair: you’re using things like bone broth, collagen powder, L-glutamine, to repair the gut lining.
And Rebalance is really all about lifestyle: meditation, having a balance between work and life, and making sure that there’s time for adult play. People forget to play and the importance of reducing stress in healing the gut.
The CDC estimates that 12.5% of American adults have chronic sinusitis, based on the 2017 National Health Survey data.2 For acute sinusitis, antibiotics are a frontline treatment, while for chronic sinusitis, further interventions are often recommended, including surgery. Tom Sult, MD, IFMCP, shares his approach to chronic sinusitis and how Functional Medicine may help improve outcomes.Read More
Given the strong mind-body/brain-gut connection, it is clear that when the normal integrity of the GI tract is compromised, distant systemic complaints can result, even in the absence of overt GI symptoms. Integrative approaches may be helpful for reducing symptoms and reestablishing a healthy gut and a healthy mind.Read More
The gut-brain axis is the bidirectional communication between the gut and the brain, which occurs through multiple pathways that include hormonal, neural, and immune mediators. Interestingly, the signals along this axis can originate in the gut, the brain, or both, with the objective of maintaining normal gut function and appropriate behavior.Read More