Functional medicine

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Functional medicine (FM) is a form of alternative medicine that encompasses a number of unproven and disproven methods and treatments. [1] [2] [3] It has been described as pseudoscience, [4] quackery, [5] and at its essence a rebranding of complementary and alternative medicine. [5] In the United States, FM practices have been ruled ineligible for course credits by the American Academy of Family Physicians because of concerns they may be harmful. [6] [7]

Contents

Functional medicine was created by Jeffrey Bland, [8] who founded The Institute for Functional Medicine (IFM) in the early 1990s as part of one of his companies, HealthComm. [9] IFM, which promotes functional medicine, became a registered non-profit in 2001. [10] Mark Hyman became an IFM board member and prominent promoter. [8] [10]

Description

David Gorski has written that FM is not well-defined and performs "expensive and generally unnecessary tests". [11] Gorski says FM's vagueness is a deliberate tactic that makes functional medicine difficult to challenge. [12]

Proponents of functional medicine oppose established medical knowledge and reject its models, instead adopting a model of disease based on the notion of "antecedents", "triggers", and "mediators". These are meant to correspond to the underlying causes of health issues, the immediate causes, and the particular characteristics of a person's illness. A functional medicine practitioner devises a "matrix" from these factors to serve as the basis for treatment. [13]

Treatments, practices, and concepts are generally not supported by medical evidence. [1]

Reception

FM practitioners claim to diagnose and treat conditions that have been found by research studies not to exist, such as adrenal fatigue and numerous imbalances in body chemistry. [14] [15] For instance, contrary to scientific evidence, Joe Pizzorno, a major figure in FM, claimed that 25% of people in the United States have heavy metal poisoning and need to undergo detoxification. [6] Many scientists state that such detox supplements are a waste of time and money. [16] Detox has been also called "mass delusion". [17]

In 2014, the American Academy of Family Physicians withdrew course credits for functional medicine courses, having identified some of its treatments as "harmful and dangerous". [6] In 2018, it partly lifted the ban, but only to allow overview classes, not to teach its practice. [7]

The opening of centers for functional medicine at the Cleveland Clinic Foundation and George Washington University was described by Gorski as an "unfortunate" example of quackery infiltrating academic medical centers. [5]

Related Research Articles

Alternative medicine is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility, testability, repeatability or evidence of effectiveness. Unlike modern medicine, which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials, producing repeatable evidence of either effect or of no effect, alternative therapies reside outside of mainstream medicine and do not originate from using the scientific method, but instead rely on testimonials, anecdotes, religion, tradition, superstition, belief in supernatural "energies", pseudoscience, errors in reasoning, propaganda, fraud, or other unscientific sources. Frequently used terms for relevant practices are New Age medicine, pseudo-medicine, unorthodox medicine, holistic medicine, fringe medicine, and unconventional medicine, with little distinction from quackery.

<span class="mw-page-title-main">Naturopathy</span> Form of alternative medicine

Naturopathy, or naturopathic medicine, is a form of alternative medicine. A wide array of practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturopaths. Difficult to generalize, these treatments range from the pseudoscientific and thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy. The ideology and methods of naturopathy are based on vitalism and folk medicine rather than evidence-based medicine, although practitioners may use techniques supported by evidence. The ethics of naturopathy have been called into question by medical professionals and its practice has been characterized as quackery.

<span class="mw-page-title-main">Reiki</span> Pseudoscientific healing technique

Reiki is a pseudoscientific form of energy healing, a type of alternative medicine originating in Japan. Reiki practitioners use a technique called palm healing or hands-on healing through which, according to practitioners, a "universal energy" is transferred through the palms of the practitioner to the patient, to encourage emotional or physical healing.

<span class="mw-page-title-main">Quackery</span> Promotion of fraudulent or ignorant medical practices

Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver, from Dutch: kwakzalver a "hawker of salve". In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares at markets by shouting to gain attention.

Rolfing is a form of alternative medicine originally developed by Ida Rolf (1896–1979) as Structural Integration. Rolfing is marketed with unproven claims of various health benefits. It is based on Rolf's ideas about how the human body's "energy field" can benefit when aligned with the Earth's gravitational field.

<span class="mw-page-title-main">Bastyr University</span> Alternative medicine university

Bastyr University is a private alternative medicine university with campuses in Kenmore, Washington, and San Diego, California. Programs include naturopathy, acupuncture, Traditional Asian medicine, nutrition, herbal medicine, ayurvedic medicine, psychology, and midwifery.

The National Center for Complementary and Integrative Health (NCCIH) is a United States government agency which explores complementary and alternative medicine (CAM). It was initially created in 1991 as the Office of Alternative Medicine (OAM), and renamed the National Center for Complementary and Alternative Medicine (NCCAM) before receiving its current name in 2014. NCCIH is one of the 27 institutes and centers that make up the National Institutes of Health (NIH) within the United States Department of Health and Human Services.

<span class="mw-page-title-main">Craniosacral therapy</span> Pseudoscientific alternative medicine technique

Craniosacral therapy (CST) or cranial osteopathy is a form of alternative medicine that uses gentle touch to feel non-existent rhythmic movements of the skull's bones and supposedly adjust the immovable joints of the skull to achieve a therapeutic result. CST is a pseudoscience and its practice has been characterized as quackery. It is based on fundamental misconceptions about the anatomy and physiology of the human skull and is promoted as a cure-all for a variety of health conditions.

<span class="mw-page-title-main">Cupping therapy</span> Pseudoscience whereby suction is applied to the skin

Cupping therapy is a form of pseudoscience in which a local suction is created on the skin with the application of heated cups. As alternative medicine it is practiced primarily in Asia but also in Eastern Europe, the Middle East, and Latin America. Cupping has been characterized as a pseudoscience and its practice as quackery.

Anthroposophic medicine is a form of alternative medicine based on pseudoscientific and occult notions. Devised in the 1920s by Rudolf Steiner (1861–1925) in conjunction with Ita Wegman (1876–1943), anthroposophical medicine draws on Steiner's spiritual philosophy, which he called anthroposophy. Practitioners employ a variety of treatment techniques based upon anthroposophic precepts, including massage, exercise, counselling, and substances.

The Ministry of Ayush, a ministry of the Government of India, is responsible for developing education, research and propagation of traditional medicine and alternative medicine systems in India. Ayush is a name devised from the names of the alternative healthcare systems covered by the ministry: ayurveda, yoga & naturopathy, Unani, Siddha, Sowa Rigpa, and homeopathy.

<span class="mw-page-title-main">David Gorski</span> Science-based medicine advocate

David Henry Gorski is an American surgical oncologist and professor of surgery at Wayne State University School of Medicine. He specializes in breast cancer surgery at the Karmanos Cancer Institute. Gorski is an outspoken skeptic and critic of alternative medicine and the anti-vaccination movement. A prolific blogger, he writes as Orac at Respectful Insolence, and as himself at Science-Based Medicine where he is the managing editor.

<span class="mw-page-title-main">Mark Hyman (doctor)</span> American physician and author (born 1959)

Mark Adam Hyman is an American physician and author. He is the founder and medical director of The UltraWellness Center and was a columnist for The Huffington Post. Hyman was a regular contributor to the Katie Couric Show until the show's cancellation in 2013. He writes a blog called The Doctor’s Farmacy, which examines many topics related to human health and welfare. He is the author of several books on nutrition and longevity, including Food Fix, Eat Fat, Get Thin, and Young Forever.

The Journal of Integrative Medicine is a bimonthly peer-reviewed medical journal covering all aspects of complementary and alternative and integrative medicine. It was established in 2003 as the Journal of Chinese Integrative Medicine and obtained its current title in 2013. It is published by Science Press and is distributed by Elsevier.

<i>Alternative Therapies in Health and Medicine</i> Alternative medicine journal

Alternative Therapies in Health and Medicine is a bimonthly peer-reviewed medical journal covering alternative medical treatments. It publishes case reports, original research papers, and systematic reviews. It was established in 1995 by founding editor Larry Dossey, and is published bimonthly by InnoVision Health Media. The editor-in-chief since 2013 is Andrew W. Campbell.

The Hippocrates Health Institute (HHI) is a nonprofit organization in West Palm Beach, Florida, USA, originally co-founded in 1956 in Stoneham, Massachusetts, by Lithuanian-born Viktoras Kulvinskas and Ann Wigmore.

<span class="mw-page-title-main">Detoxification foot baths</span> Pseudoscientific alternative medicine

Detoxification foot baths, also known as foot detox, ionic cleansing, ionic foot bath and aqua/water detox are pseudoscientific alternative medical devices marketed as being able to remove toxins from the human body. They work by providing an electric current to an electrode array immersed in a salt water solution. When switched on, the electrodes rapidly rust in a chemical process called electrolysis which quickly turns the water brown. This reaction happens regardless of whether or not a person's feet are immersed in the water and no toxins from the human body have ever been detected in the water after use.

<span class="mw-page-title-main">Activated charcoal cleanse</span> Pseudoscientific use of medicine

Activated charcoal cleanses, also known as charcoal detoxes, are a pseudoscientific use of a proven medical intervention. Activated charcoal is available in powder, tablet and liquid form. Its proponents claim the use of activated charcoal on a regular basis will detoxify and cleanse the body as well as boost one's energy and brighten the skin. Such claims violate basic principles of chemistry and physiology. There is no medical evidence for any health benefits of cleanses or detoxes via activated charcoal or any other method. Charcoal, when ingested, will absorb vitamins and nutrients as well as prescription medications present in the gastrointestinal tract which can make it dangerous to use unless directed by a medical doctor.

References

  1. 1 2 Sampson, Wallace (October 30, 2008). "Functional Medicine – New Kid on the Block". Science-Based Medicine . Archived from the original on May 22, 2011. Retrieved March 6, 2024.
  2. Sampson, Wallace (July 9, 2009). "Functional Medicine (FM) What Is It?". Science Based Medicine. Retrieved May 20, 2014.
  3. Pal, SK (March 2002). "Complementary and alternative medicine: An overview". Current Science . 82 (5): 518–24. JSTOR   24105958.
  4. Hall, Harriet (2017). "Functional Medicine: Pseudoscientific Silliness". Skeptic. Vol. 22, no. 1. pp. 4–5.
  5. 1 2 3 Gorski, David (September 29, 2014). "Quackademia update: The Cleveland Clinic, George Washington University, and the continued infiltration of quackery into medical academia". Science-Based Medicine . Retrieved December 2, 2016.
  6. 1 2 3 Bellamy J (October 26, 2017). "AAFP: Functional Medicine lacks supporting evidence; includes 'harmful' and 'dangerous' treatments". 6 March 2024. Science-Based Medicine. Archived from the original on October 15, 2019. Retrieved October 15, 2019.
  7. 1 2 Bellamy J (October 27, 2018). "AAFP should publish research behind finding that functional medicine lacks evidence, contains harmful and dangerous practices". Science-Based-Medicine. Archived from the original on June 12, 2019. Retrieved October 15, 2019.
  8. 1 2 "Functional medicine: Is it the future of healthcare or just another wellness trend?". independent. October 23, 2018. Retrieved February 7, 2023.
  9. Barrett, Stephen (September 11, 2013). "Some Notes on Jeffrey Bland and Metagenics". Quackwatch. Retrieved April 5, 2022.
  10. 1 2 "Institute for Functional Medicine 2001 tax forms". ProPublica. May 9, 2013.
  11. Gorski DH (2018). "Chapter 14: 'Integrative' Medicine: Integrating Quackery with Science-Based Medicine". Pseudoscience: The Conspiracy Against Science. MIT Press. pp. 309–330. doi:10.7551/mitpress/9780262037426.003.0014. ISBN   978-0-262-03742-6.
  12. Gorski, David (April 11, 2016). "Functional medicine: The ultimate misnomer in the world of integrative medicine". Science-Based Medicine . Retrieved March 6, 2024.
  13. Knott L (February 6, 2015). "Therapies and Theories Outside Traditional Medicine". Patient. Retrieved December 11, 2015.
  14. Gorski, David (December 17, 2018). "Functional medicine: Reams of useless tests in one hand, a huge invoice in the other". Science-Based Medicine . Archived from the original on November 1, 2020. Retrieved October 30, 2020.
  15. "Adrenal Fatigue | Hormone Health Network". www.hormone.org. Archived from the original on October 20, 2020. Retrieved October 30, 2020.
  16. "Scientists dismiss detox schemes". BBC . January 3, 2006. Archived from the original on February 13, 2021. Retrieved March 6, 2024.
  17. Dixon, Bernard (2005). ""Detox", a mass delusion". The Lancet Infectious Diseases. 5 (5). Elsevier BV: 261. doi:10.1016/s1473-3099(05)70094-3. ISSN   1473-3099. PMID   15854880.

Further reading