|At its core, the GI Advanced Practice Module is about practical applications. Our expert faculty team has spent years synthesizing information and gaining clinical experience in the area of gut dysfunction. The result is a program whose content is organized and presented in a clear, concise format—from conceptual understanding to scientific rationale, to treatment modalities.|
Session Descriptions and Presenters
Click below to view the sessions and presenters for each day of the course.
+ Day One
Gastrointestinal Dysfunction, Chronic Disease, and the Functional Medicine Matrix ModelPatrick Hanaway, MD
Gastrointestinal dysfunction is a core component of a variety of chronic disease processes. Comprehending the connections and interactions that take place in and around the gastrointestinal tract is of central importance to understanding gastrointestinal dysfunction, an essential part of any integrative approach to patient health. Equally important is developing practical skills to assess and treat these dysfunctions. Dr. Hanaway will first review and clarify these relationships, using the Functional Medicine Matrix to show us the key antecedents, triggers, and mediators that frame the core of this APM. He will then introduce the central skills and rules of thumb that will be highlighted throughout the course. Functional Assessment of Digestive Dysfunction: Using the DIGIN ModelGerard Mullin, MD, MS, CNSP
What are the critical factors for proper digestion and absorption? What goes wrong in maldigestion vs. malabsorption? What tools are available to evaluate digestive dysfunction and insufficiencies? Dr. Mullin will catalog and clarify the underlying causes of digestive impairments and the techniques for accurately assessing them.Allergies, Sensitivities, and IntolerancesPatrick Hanaway, MD
What is the prevalence of food allergies, sensitivities, and intolerances in the general population? What are the underlying mechanisms? How do we discriminate between these food reactions? What are the best laboratory studies and empiric ways to accurately assess such problems? Assessing for reactions to food is complex and controversial. Dr. Hanaway will discuss and differentiate the various options available to assess the myriad ways patients may react to foods. The overlapping complexities of the gluten-related disorders spectrum will also be introduced.Remove, Replace and Replenish: The Diet Prescription and Supplementation Part 1Elizabeth Lipski, PhD, CCN, CNS, LDN
Nutritional inadequacies and insufficiencies in modern dietary patterns will be discussed. This will be followed by an introduction to various interventional food plans as well as a structural framework for developing individualized dietary prescriptions.
Remove, Replace and Replenish: The Diet Prescription and Supplementation Part 2Elizabeth Lipski, PhD, CCN, CNS, LDN
When should you utilize pancreatic enzymes, bile salts, or betaine hydrochloride in treatment? What are the best foods, botanicals, and nutraceuticals that can stimulate bile, increase mucus secretion, and soothe an irritated or inflamed gastrointestinal tract? How do you differentiate between enzyme products, sialogogues, cholagogues, and choleretics? Dr. Lipski will delve into the treatment strategies involved in replacing, replenishing, and potentially restoring impaired digestive secretions.
+ Day Two
Gastrointestinal Dysbiosis: What It Is and How to Recognize ItPatrick Hanaway, MD
Treatment of Dysbiosis: Weeding, Seeding, and Feeding the Gut Microbiome
Gerard Mullin, MD, MS, CNSP
There’s a common misconception that treating a bacterial, fungal, or protozoal infection alone will result in a complete cure of gastrointestinal dysbiosis. Oftentimes, a multifactorial response including lifestyle, dietary, and nutritional modifications, along with botanical/pharmaceutical interventions, is necessary for long-term remediation. Dr. Mullin will discuss an array of dietary, nutraceutical, botanical, and pharmaceutical treatments for these conditions.Fire in the Gut, Part 1: Assessment of Oxidative Stress and Inflammation in Gastrointestinal DysfunctionThomas Sult, MD
Inflammation and free-radical damage are hallmarks of a variety of gastrointestinal problems. Assessing for these gastrointestinal mediators can be an important and critical step in modifying gastrointestinal dysfunctions of all sorts. Dr. Sult will describe evaluation tools that can help reveal and track inflammation and oxidative stress in the gastrointestinal tract. Fire in the Gut, Part 2: Treating Oxidative Stress and Inflammation in the Gastrointestinal TractGerard Mullin, MD, MS, CNSP
Understanding how to adequately address the various mediators of inflammation and free radical damage is key in treating gastrointestinal problems. Dr. Mullin will describe important dietary, nutraceutical, and botanical treatment options to help “cool” inflammatory and oxidative stress mediators.
+ Day Three
Navigating Dietary Options for Gastrointestinal-Related DisordersElizabeth Lipski, PhD, CCN, CNS, LDN
Dr. Lipski will highlight some of the foods and food components with high therapeutic value. She will review a variety of specialized diets for GI healing, and then delve into dietary programs that may be most appropriate for specific patient conditions. Discussion will specify how and when to incorporate FODMAP/ Specific Carbohydrate, Elimination, and whole foods diets in clinical practice. Putting it Together: Case Management Parts 1 and 2Gerard Mullin, MD, MS, CNSPThomas Sult, MD
Drs. Mullin and Sult will discuss the workup, treatment, and management of various conditions using cases from their practices in which they incorporated a Functional Medicine perspective. The discussion will include the advantages and disadvantages of testing options and specific interventions to consider. The 80/20 Rule: Key Clinical Applications to Use Monday:Dan Lukaczer, ND
The goal of this APM is to prepare the participant to accurately and confidently evaluate and treat a variety of conditions that are intimately connected to impaired gastrointestinal dysfunction. Dr. Lukaczer will close the onsite portion of the module with a reminder of the take-home messages and clinical applications that participants should be comfortable using come Monday morning.
*Schedule is subject to change