integrative medicine: a clinician’s journal - april 2016

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APRIL/MAY 2016 • VOL. 15 NO. 2 Integrative Medicine: A Clinician’s Journal Cognitive Behavioral Therapy and Emotional Freedom Techniques in Reducing Depression and Anxiety Among Adults • Anxiety and Methylenetetrahydrofolate Reductase Mutation Treated With S-Adenosyl Methionine and Methylated B Vitamins • Bariatric Surgery: Bad to the Bone, Part 2 • Mild Cognitive Impairment, Neurodegeneration, and Personalized Lifestyle Medicine • Presenters 2016: Elizabeth Frates, MD, and Kristi Hughes, ND • Interview with James Gordon, MD • Editorial: Is Mold Toxicity Really a Problem for Our Patients? Part I—Respiratory Conditions

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This is a free sample of Integrative Medicine: A Clinician’s Journal issue "April 2016" Download full version from: Apple App Store: https://itunes.apple.com/us/app/id850252731?mt=8&at=1l3v4mh Magazine Description: Launched as a peer-reviewed journal in 2002, Integrative Medicine: A Clinician’s Journal (IMCJ) provides practitioners with a practical and comprehensive approach to integrating alternative therapies with conventional medicine. The journal is published 6 times per year under the leadership of Joseph Pizzorno, ND, editor in chief, a cofounder and former president of Bastyr University. You can build your own iPad and Android app at http://presspadapp.com

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APRIL/MAY 2016 • VOL. 15 NO. 2

Integrative Medicine: A Clinician’s Journal

Cognitive Behavioral Therapy and Emotional Freedom Techniques in Reducing Depression and Anxiety Among Adults • Anxiety and Methylenetetrahydrofolate

Reductase Mutation Treated With S-Adenosyl Methionine and Methylated B Vitamins • Bariatric Surgery: Bad to the Bone, Part 2 • Mild Cognitive Impairment,

Neurodegeneration, and Personalized Lifestyle Medicine • Presenters 2016: Elizabeth Frates, MD, and Kristi Hughes, ND • Interview with James Gordon, MD • Editorial: Is

Mold Toxicity Really a Problem for Our Patients? Part I—Respiratory Conditions

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1. Su KP, Matsuoka Y, Pae CU. Omega-3 polyunsaturated fatty acids in prevention of mood and anxiety disorders. Clin Psychopharmacol Neurosci. 2015;13(2):129-137. 2. Crupi R, Marino A, Cuzzocrea S. n-3 fatty acids: role in neurogenesis and neuroplasticity. Curr Med Chem. 2013;20(24):2953-63. 3. Lynch AM, Loane DJ, Minogue AM, et al. Eicosapentaenoic acid confers neuroprotection in the amyloid-beta challenged aged hippocampus. Neurobiol Aging. 2007;28(6):845-855. 4. Heinrichs SC. Dietary omega-3 fatty acid supplementation for optimizing neuronal structure and function. Mol Nutr Food Res. 2010;54(4):447-456. 5. Saunders EF, Reider A, Singh G, Gelenberg AJ, Rapoport SI. Low unesterified:esterified eicosapentaenoic acid (EPA) plasma concentration ratio is associated with bipolar disorder episodes, and omega-3 plasma concentrations are altered by treatment. Bipolar Disord. 2015;17(7):729-742. 6. Sinn N, Milte CM, Street SJ, et al. Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: a 6-month randomised controlled trial. Br J Nutr. 2012;107(11):1682-93. 7. Data on file, Prevention Pharmaceuticals Inc. New Haven, CT.

omax3 is a registered trademark of Prevention Pharmaceuticals, Inc. ProResolv is a trademark of Prevention Pharmaceuticals, Inc.©2015 Prevention Consumer Health Products. All rights reserved. OMPS007 12/2015

A proper inflammatory response has been shown to improve neurochemical signaling, enhance neuroplasticity, and promote neurogenesis

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Mood1,5,6

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*These statements have not been evaluated by the US Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

PRVO026 PRO AntiAging AD IVPM FINAL 121715.indd 1 12/17/15 2:17 PM

Outsmart the Effects of Aging

omax3 Professional Strength with its unique ProResolv™ formulation contains a 4:1 EPA to DHA ratio for a superior inflammatory response7*

• Proven greater reduction of inflammation vs other omega-3 products7*

• >93.9% pure omega-3

• Available only through healthcare professionals

Call 855-978-6615 to make it available from your practiceFor more information, visit www.omax3pro.com or contact us at [email protected]

1. Su KP, Matsuoka Y, Pae CU. Omega-3 polyunsaturated fatty acids in prevention of mood and anxiety disorders. Clin Psychopharmacol Neurosci. 2015;13(2):129-137. 2. Crupi R, Marino A, Cuzzocrea S. n-3 fatty acids: role in neurogenesis and neuroplasticity. Curr Med Chem. 2013;20(24):2953-63. 3. Lynch AM, Loane DJ, Minogue AM, et al. Eicosapentaenoic acid confers neuroprotection in the amyloid-beta challenged aged hippocampus. Neurobiol Aging. 2007;28(6):845-855. 4. Heinrichs SC. Dietary omega-3 fatty acid supplementation for optimizing neuronal structure and function. Mol Nutr Food Res. 2010;54(4):447-456. 5. Saunders EF, Reider A, Singh G, Gelenberg AJ, Rapoport SI. Low unesterified:esterified eicosapentaenoic acid (EPA) plasma concentration ratio is associated with bipolar disorder episodes, and omega-3 plasma concentrations are altered by treatment. Bipolar Disord. 2015;17(7):729-742. 6. Sinn N, Milte CM, Street SJ, et al. Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: a 6-month randomised controlled trial. Br J Nutr. 2012;107(11):1682-93. 7. Data on file, Prevention Pharmaceuticals Inc. New Haven, CT.

omax3 is a registered trademark of Prevention Pharmaceuticals, Inc. ProResolv is a trademark of Prevention Pharmaceuticals, Inc.©2015 Prevention Consumer Health Products. All rights reserved. OMPS007 12/2015

A proper inflammatory response has been shown to improve neurochemical signaling, enhance neuroplasticity, and promote neurogenesis

Balance. Purity. Potency.

®

Professional Strength

Mood1,5,6

Neuroplastic

ity1,2

Neuroprotection3

Anti-infla

mmatory

1

Neurogenesis2,4

Synaptic Plasticity2

Emotional Coping5

Improved Learning4

*These statements have not been evaluated by the US Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

PRVO026 PRO AntiAging AD IVPM FINAL 121715.indd 1 12/17/15 2:17 PM

Tel: 805.693.1802 • Fax: 805.693.1806 • CustomerService@ResearchedNutritionals.comwww.ResearchedNutritionals.com | Available only through healthcare professionals

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*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.

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*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.

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Integrative Medicine • Vol. 15, No. 2 • April 2016 3Table of Contents

6 Is Mold Toxicity Really a Problem for Our Patients? Part I—Respiratory Conditions Joseph Pizzorno, ND, Editor in Chief

12 Mild Cognitive Impairment, Neurodegeneration, and Personalized Lifestyle Medicine Jeffrey Bland, PhD, Associate Editor

64 The Circle Game Bill Benda, MD, Associate Editor

16 The Leadership of the Naturopathic Profession in the Emergence of Integrative and Functional Medicine … plus more John Weeks

27 The Effectiveness of Cognitive Behavioral Therapy and Emotional Freedom Techniques in Reducing Depression and Anxiety Among Adults: A Pilot Study Hannah Chatwin, MClinPsych; Peta Stapleton, PhD; Brett Porter, EFT Practitioner; Sharon Devine, MClinPsych; Terri Sheldon, BA(Hons)

48 Anxiety and Methylenetetrahydrofolate Reductase Mutation Treated With S-Adenosyl Methionine and Methylated B Vitamins Shanna Anderson, BA; Jacob Panka, BA; Robin Rakobitsch, BA; Kaitlin Tyre, BS; Kerry Pulliam, MD

35 Bariatric Surgery: Bad to the Bone, Part 2 Lara Pizzorno, MDiv, MA, LMT

20 Elizabeth Frates, MD, and Kristi Hughes, ND: Creating Strategies for Prescribing Effective Lifestyle Modifications Interview by Craig Gustafson

54 James Gordon, MD: The Potential of Mind-Body Self Care to Free the World From the Effects of Trauma Interview by Craig Gustafson

62 Conference Calendar

EDITORIALS

COMMENTARY

VIEWPOINTS

Integrative Medicine: A Clinician’s Journalwww.imjournal.com

April/May 2016 • Vol. 15 No. 2

REVIEW ARTICLE

PRESENTERS 2016

EPTHECA

CASE REPORT

PILOT STUDY