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An individual health assessment to help determine how your current health status can be improved at Optimum Function.
A questionnaire to help determine if you are regulating you blood sugar properly.
Baseline Functional medicine and Nutritional Support:
All patients who wish to enroll in Functional medicine and/or nutritional programs at Optimum Function must first enter this baseline program. Utilizing a complete and thorough history, physical exam and the proper laboratory tests that your history and physical exam indicate***; I will come up with your custom treatment plan that includes a custom food plan, lifestyle habit changes and supplementation if necessary using the best evidence available.
I take the "Test Don't Guess" method of Functional Medicine and Nutrition (Click Here to find out more about this method). Rather than making the best "educated" guess based on your symptoms ; I require that you commit to at least one laboratory exam in addition to be accepted for this program. In rare cases, your particular health status may reveal itself without one but I will decide this based on your initial paperwork. The goal of this stipulation is so that I can utilize the most up-to-date exams and tests available to "crack your case" and not waste precious time and money by guessing .
This program includes:
In-office testing including both a conventional and functional tests as needed ($99 value)
A thorough health history, exam, and the evaluation of health questionnaires and a thorough case review and report ($195 value).
A customized nutrition and food plan after the necessary laboratory tests are performed and evaluated. ($145 value)
This baseline exam will give me the information I need to help you reach Optimum Function and Optimal Health. It includes the screening and acceptance process, initlal phone consultations, the evaluation of your current complaints, past health, medical/surgical histories, diet and lifestyle habits, the initial examination appointment and the creation of a food plan and treatment plan***
For a limited time, this great price also includes the follow-up appointment where I will counsel and instruct you on how to implement your custom treatment plan.*** (A $110 value)
All for an introductory price of $299!***
Imagine how good it will feel to know that you are eating and taking in the specific nutrients that YOU need based on the best evidence available. This type of evaluation and treatment is quickly becoming the avenue to Optimal Health by many savvy doctors and patients.
Please allow approximately 1-1.5 hours for the initial appointment. Once all of the tests have been evaluated, I will generate custom nutritional recommendations and a treatment plan with a full report; this requires a follow-up visit which will be about 30-45 minutes, will be scheduled 2-3 weeks after the initial appointment (to give the labs time to get your results to me) and for a limited time, wil be included in the price of the initial exam.
If there are markers and clues that a disease process is underway in your body, you will be appropriately referred to the correct provider if it is a process that cannot be managed at Optimum Function.
***This baseline program does not include the cost of any other necessary laboratory exams. I will talk with you about specific functional and/or laboratory exams that I will need to completely investigate you current health and nutritional status. To be accepted as a patient, you have to be committed to perticipate in the necessary laboratory tests to uncover the root cause of your current health status. (See the list of potential exams below)
List of the Most Common Functional and Conventional Laboratory Examination Used to "Crack Your Case":
- Custom Comprehensive Blood Chemistry Exam
- Comprehensive Metabolic Profile
- Basic Metabolic Profile Plus Fatty Acids
- Full Gastrointestinal Function Profile
- Complete Stool Analysis
- Gastrointestinal Infection Profile
- Amino Acids Profile
- Detoxification Capacity
- Bone Resorption Test
- Adrenal Stress Index
- Estronex – 2/16 OH Estrogen Ratio
- VAP Cholesterol Fractionation Test
Click Here to download a copy of one of my nutrition therapy brochures
Email me at Nutrition@OptFunction.com or click here to contact me and receive more information or to sign-up for this program
Here is an example of some of the information given to patients with regards to inflammation. Often, chronic conditions have inflammatory components that plague patients with constant or near-constant pain. Below is taken from a handout that helps patients like you to reduce their daily pain as a result of inflammation. You may download a PDF version of this publication by clicking here.
Anti-Inflammatory Nutrition/Diet Program Overview
This is a special diet for patients who are have any inflammatory condition like arthritis, joint, muscle pain, any acute injury, fibromyalgia and certain auto-immune disorders like rheumatoid arthritis, MS or Lupus.
Serving-size Simplified:
The Palm Method: One serving is equivalent to the size of your palm. Each meal should consist of:
- Approved Protein: One to two servings
- Approved Vegetables: Three servings
- Approved Starch/Legumes: One serving
Example:
Approved: one serving of salmon, three servings of approved vegetables and one serving of sweet potatoes
Foods You Must Strictly Avoid:
- Yeast Foods: yeast in most forms, yeast-raised breads, rolls and pastries. This includes all fresh and frozen bagels, breads, biscuits, buns and rolls. Brewer’s yeast and supplements like Saccharomyces Boulardii are OK.
- All gluten-containing foods like wheat, rye, spelt, oats and barley which are commonly found in breads, pasta, and other products from refined flour.
- Corn, white potatoes (Sweet potatoes are great)
- Eggs and all dairy (milk, cheese, butter, yogurt, ice cream)
- Night-Shade Foods: Potatoes, Eggplant, Green, Red and Yellow Peppers and Tomatoes
- Citrus fruits or juices (orange, grapefruit, lemon and lime) and dried citrus fruits
- Peanuts, peanut butter, refined oils, margarine, shortening or anything with partially hydrogenated oils listed in the ingredients.
- Beef, pork, cold cuts, bacon, hot dogs, canned meat, sausage, shellfish (shrimp, lobster etc.), soy products (tofu, soy sauce, soy milk)
- High sugar desserts and all processed foods high in sugar---canned, frozen or otherwise
- Alcohol: You must strictly avoid all fermented beverages such as wine, beer, whisky, brandy, gin, rum, vodka and other fermented liquors and liqueurs
- Prepared Drinks: Avoid fermented beverages such as apple cider, root beer and all soft drinks. Coffee of all types. (Green tea is great, black tea is OK in moderation)
- Cayenne pepper, paprika have been shown to be pro-inflammatory.
- Condiments & Commercial Salad Dressings: Avoid mustard, ketchup, Worcestershire sauce, soy sauce, pickles, pickled relishes, green and black olives, sauerkraut, horse-radish, all types of vinegar, and vinegar-containing foods such as commercially prepared mayonnaise and salad dressing
- Sugar: Sugar and sugar-containing foods (sucrose, fructose, maltose, lactose, glycogen, glucose, sorbitol, galactose, mannitol, monosaccharides and polysaccharides. Other forms of sugar include honey, molasses, maple syrup, maple sugar, date sugar, turbinado sugar, rice syrup and barley malt syrup.
You must learn to read all labels to see what is really hidden in there
- No nutrasweet (aspartame, Equal) or saccharin
If you find yourself wondering, “On this diet can I eat………..?
Simply remind yourself
“When in doubt, leave it out!”
- Processed Foods: avoid all processed and packaged foods. Malt products must be avoided, including malted-milk drinks, cereals and candy. Other processed foods include smoked meats, such as sausages, hot dogs, corned beef and pastrami.
- Medications: Certain medications may be pro-inflammatory; if you are worried if a certain medication is maintaining your inflammatory state, contact the prescribing physician.
Foods You May Eat Freely:
Try to find organic, pesticide-free, antibiotic-free produce and meats.
Wash all produce thoroughly before eating
- Beverages: Spring water (lots of water), herbal teas, green tea, vegetable juices (preferably fresh), rice and nut milks
- Non-gluten grains: brown rice, millet, quinoa, buckwheat, amaranth, teff, rice bread, rice pasta, tapioca, cream of rice
- Proteins: Veal, lamb, any game animals. Poultry (chicken),Cornish hens, duck, goose, turkey. Fish (other than shellfish): halibut, salmon, cod, sole, trout. No breaded fish. Avoid farmed fish
Rice and pea protein powders are excellent sources of clean, non-reactive protein!
- Dried beans, dried peas, lentils
- Vegetables: Unlimited (organic preferred) Artichoke, asparagus, beets, broccoli, Brussels sprouts, cabbage, carrots, cauliflower, celery, cucumber, celery root, garlic, beet greens, bok choy, collards, dandelion, kale, mustard greens, parsley, spinach, turnips, watercress, jicama, kohlrabi, okra, onions, parsnips, pea pods, radishes, rutabaga, string beans, summer squash, zucchini.
- Starches: Sweet potatoes, rice, rice pasta
- Low-glycemic fruits include: Apples, pears, grapes, plums, peaches and strawberries
- Seeds and Nuts: Choose smooth-skinned seeds and nuts ONLY, like almonds and sunflower seeds. You want to avoid any ridges as in pecans and walnuts that hide mold. You may eat cashews, brazil nuts and filberts. You may eat flax seeds, pumpkin, sesame and sunflower seeds. You may also use almond and cashew nut butters.
All seeds and nuts should be fresh, unroasted & unsalted
- Fats & Oils: Extra virgin oil is best. Flax oil, sesame, safflower, sunflower and walnut oils are good.
DO NOT eat deep-fried foods or foods labeled polyunsaturated. ALL oils should be cold-pressed or expeller pressed. Avoid canola and soy oils. Most are heavily contaminated with herbicides and genetically engineered.
I have a handout on healthy oils and fats; ask for it if you want more info on this.
- Condiments: Sea salt, black and white ground pepper, fresh herbs such as basil, cilantro and dill.. Chopped parsley, scallions, rosemary, tarragon, thyme, turmeric, garlic, ginger, cumin, oregano, cinnamon
- Snacks: Vegetables with homemade humus and/or other bean and seed dips and spreads. Freshly air-popped popcorn, rice cakes with seed, beans or nut spreads
Meal Planning:
- Make a list of all approved foods
- Learn the glycemic concept (Ask me for a copy of my article on glycemic index versus glycemic load)
- Grasp “The Palm Method” for determining serving sizes
- Plan 3-5 breakfasts
- Plan 3-5 lunches
- Plan 3-5 dinners
- Plan 3-5 snacks
Well, I know this is a lot of information but diet is really the “first line of defense” against many of our common ailments. In fact, I don’t recommend you even try taking any sort of anti-inflammatory supplements until you make the changes listed in this handout, often, they are enough. There are some supplements that can help with inflammation and some of them are safe to take long-term. If you would like to come in for a more formal functional medicine/nutritional work-up, email info@optfunction.com or call 503-866-9739.
Please note: The information in this publication is not meant to diagnose or treat any particular disease; it is meant to help alleviate inflammatory states that decrease ones quality of life. Even though the recommendations listed in this publication can be applied to chronic and acute inflammatory conditions, it does not replace a proper diagnostic work-up, nor will it replace the recommendations by your primary physician.
Yours in Health,
Dr. Tim Irving DC, LMT, Nutritionist, CKTP
Optimum Function
Portland, OR
