Top Tips for Laboratory Testing in Eosinophilic Esophagitis (EoE)

Introduction to Tongue Nutrient Diagnosis in Functional Medicine

“Red, raw tongue; red, raw gut.” —Jeghers, New England Journal of Medicine, 1942. In 1942 it was understood that what was happening in the gut was often reflected in the tongue. A red, irritated tongue was thought to mirror a red, irritated gut. This was seen in B-vitamin deficiencies, glossitis and ileitis. Simply correcting the B deficiency…

Nutrition Physical Exam: Tongue & Nails Suggest Gut Health

Two of the most useful — and often overlooked — components of the nutrition physical exam are the tongue and fingernails. Together, abnormal findings can often be sourced to gut. In this blog, I’m presenting a case where tongue and nails were extremely useful in providing clear treatment direction. Next month, I’ll give some additional…

Are You a Hospitable Host to Your Microbial Partners?

Are you enriching their lives with good, healthy food choices and lifestyle habits or are you angering your trillions of guests, pushing them towards causing disease? I wrote my thesis in medical school on stealth infections, where I concluded that health had much to do with how well we tended our microbial garden… I was…

PCBs-A Case Report Suggests We Can Reduce Burden Despite Their Years-Long Half-Life

A patient was in my office the other day explaining that she’s gotten rid of all her plastic cookware, purchased new pots and pans and wooden cooking utensils. “I am going crazy thinking about all the toxins and what to do!” she said, “It keeps me up at night!” After expressing my admiration for her…

Age-Specific Phenotypic Expression of Food Allergies

We in functional medicine have long been aware that children can start out with a clearly identified food allergy. As the child ages, the primary allergic symptoms fade and some other clinically relevant presentation appears in its place. For example: we’ll see a classic milk allergy in infancy — often as milk colitis.

SIBO and Chapped Lips: A Connection?

It’s winter. Chances are that if you live anywhere cold and dry, your lips have been chapped at least once this season. For most of us, we slather on the lip balm and all is well. But for some folks, the chapped lip experience is an entirely different animal: A relentless cycle of peeling and healing, peeling and healing that no amount of lip balm resolves. Lips are fissured and inflamed, making…