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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]
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]
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]
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 and George Washington University was described by David Gorski as an "unfortunate" example of quackery infiltrating academic medical centers. [5]
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.
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.
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 client, to encourage emotional or physical healing. It is based on qi ("chi"), which practitioners say is a universal life force, although there is no empirical evidence that such a life force exists.
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, derived from Dutch: kwakzalver a "hawker of salve" or rather somebody who boasted about their salves, more commonly known as ointments. 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, is recognized as pseudoscience and has been characterized as quackery. 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.
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.
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.
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. The practice of cupping has been characterized as quackery.
Detoxification is a type of alternative-medicine treatment which aims to rid the body of unspecified "toxins" – substances that proponents claim accumulate in the body over time and have undesirable short-term or long-term effects on individual health. It is not to be confused with detoxification carried out by the liver and kidneys, which filter the blood and remove harmful substances to be processed and eliminated from the body. Activities commonly associated with detoxification include dieting, fasting, consuming exclusively or avoiding specific foods, colon cleansing, chelation therapy, certain kinds of IV therapy and the removal of dental fillings containing amalgam.
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 and naturopathy, Unani, Siddha, Sowa Rigpa, and homeopathy.
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. He writes as Orac at Respectful Insolence and as himself at Science-Based Medicine, where he is the managing editor.
Mark Adam Hyman is an American physician and author. He is the founder and medical director of The UltraWellness Center. 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, and also offers a podcast by the same name. 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.
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.
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.
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.