Functional Medicine

When considering Chinese medicine most people bring to mind a diversity of definitions and concepts that are included in the practise. Giving him or her a specific, customized written prescription for an improved health behavior is much more likely to achieve real lifestyle change (see table 2). Lifestyle prescriptions must take into account each patient's circumstances and, ideally, should include each element of a SMART objective (i.e., be specific, measurable, attainable, realistic, time-specific).
While lifestyle medicine does require a certain knowledge base and skill set, it is much more than that — it is really a philosophy and approach to care that is rooted in the science of conventional medicine but goes beyond traditional medical training.

The third ikigai concern is that even when patients who could benefit from a therapeutic lifestyle change are adequately screened, identified, and given focused advice on health behavior change, they are not given adequate tools with which to implement their healthy behavior goals.

The four required activities include: 1) participation in three in person overview, review and summary discussion sessions, 2) completion of three on line didactic sessions, 3) participation in an intensive therapeutic lifestyle change intervention (ITLC) lab, and 4) completion of a personal lifestyle medicine application.
Recent technological advances - or even older technologies available to low-income populations, such as automated text messages to patients about relevant health behaviors - offer potential low-cost breakthrough opportunities to support lifestyle-related clinical and clinician counseling services beyond the clinical setting.

Furthermore, compelling evidence is emerging for the role of persistent organic pollutants (POPs), such as polychlorinated biphenyls, dioxins, and pesticides, in chronic diseases such as type 2 diabetes 72 - 75 by impacting beta-cell function 72 , insulin signaling and secretion 73 , and mitochondrial function 74 , as well as in the development of obesity by influencing adipocyte differentiation and neural circuits that control eating behavior (these toxicants have also thus been termed obesogens”) 76 Porta et al. 77 analyzed serum concentrations of 19 POPs in 919 people in Spain and found that more than half of the population studied had concentrations in the top quartile of ≥1 POPs.
The enormous cost of health care directed toward CVD and cancer account for up to one-third of the health care fiscal burden in the US. If 1 in 10 of the US population would adopt a healthy lifestyle, the amount of money saved could well fund others more in need.

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