Practitioner Tip of the Month – June 2019

Dr. Michael Ruscio’s Monthly – Future of Functional Medicine Review Clinical Newsletter

Practical Solutions for Practitioners

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Practice Bonus

Earlier this year, I presented at the 2019 Integrative Healthcare Symposium Annual Conference in New York City. For those of you who could not make it, included below is the recording* of my presentation. I hope you find it helpful!

Gut Dysbiosis, Immune Activation and Histamine Intolerance – Untangling the Web

GI tract dysbiosis, immune activation and histamine intolerance exist in an interconnected web resulting in patients with multi-system symptomatic presentation.  While reaching for a presumed diagnosis of MCAS may be temping in theory, many of these patients can achieve substantial improvement with the appropriate series of natural interventions.

Dietary aspects of the optimal therapeutic approach can be counterintuitive.  For example, published data has shown a low FODMAP diet can result in an 8-fold decrease in serum histamine.  However, a low FODMAP diet may reduce seemingly healthy foods.  Additionally, the impact of probiotics on histamine is often overcomplicated when attempting to use non-histamine-producing strains.  This discounts the net effect a given probiotic may have on one’s histamine production.  Speculatively, a probiotic that is pro-histamine but simultaneously able to decontaminate the small bowel of SIBO (also published) may result in a net anti-histamine effect.

While some of the science here is still preliminary, this talk will attempt to provide progressive, yet evidence based recommendations for using diet, lifestyle, environment, probiotics, anti-bacterial treatment and OTC medications in the management of gut dysbiosis, immune activation and histamine intolerance.

*Please note that this and all of the other presentations from the 2019 Integrative Healthcare Symposium are now available for purchase through IntegrativePractitioner.com

If you have found this information helpful please share with a friend using this link: https://drruscio.com/review/

I’d like to hear your thoughts or questions regarding any of the above information. Please leave comments or questions below – it might become our next practitioner question of the month.

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Discussion

I care about answering your questions and sharing my knowledge with you. Leave a comment or connect with me on social media asking any health question you may have and I just might incorporate it into our next listener questions podcast episode just for you!

4 thoughts on “Practitioner Tip of the Month – June 2019

  1. Dr. Ruscio:

    Thank you for all your great work! It’s so refreshing to know that there are other practitioners in functional medicine that are trying to reform the stereotypes that functional medicine has to be expensive and “over-use” supplements and tests.

    We spoke about this at PaleoFX, but I’d be appreciative if you could give your take on how you respond to patients who bring in lab results from test companies that seem to find a parasite or problem in everyone? I used to work with a practitioner that used a test like this. Specifically, the tests I’m mentioning is are blood/stool/urine tests that are evaluated from Eko University in Nigeria, and “juices” are recommended as treatments of the results.

    Thank you in advance for your guidance and wisdom.
    Meg

  2. Dr. Ruscio:

    Thank you for all your great work! It’s so refreshing to know that there are other practitioners in functional medicine that are trying to reform the stereotypes that functional medicine has to be expensive and “over-use” supplements and tests.

    We spoke about this at PaleoFX, but I’d be appreciative if you could give your take on how you respond to patients who bring in lab results from test companies that seem to find a parasite or problem in everyone? I used to work with a practitioner that used a test like this. Specifically, the tests I’m mentioning is are blood/stool/urine tests that are evaluated from Eko University in Nigeria, and “juices” are recommended as treatments of the results.

    Thank you in advance for your guidance and wisdom.
    Meg

    1. Thanks Meg!

      I’ve spoken to this a few times on the podcast prior. I think as recently as the last interview with Dr. Gurevich. More to dig into there.

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